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2022-2023 Wisconsin Healthy Smiles Survey, F-03079 (08/2022)

Wisconsin Healthy Smiles Survey

Welcome to the 2022-2023 Wisconsin Healthy Smiles Survey. This survey is designed to collect information on the oral health status of kindergarten and third-grade students in Wisconsin. The information collected as part of this survey will help aid the Wisconsin Department of Health Services in developing programs that provide all children in Wisconsin with the opportunity for optimal oral health. Thank you for your participation.
 
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8. Ethnicity (check all that apply)
9. Race (check all that apply)
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13. Urgency of treatment *This question is required.
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