Practitioner ID
Network administrative region
Q2. # perform in typical month
Q4A. re-made 6 mo, reason (rank 1-6):Marginal misfit
Q4B. re-made 6 mo, reason (rank 1-6):Esthetics
Q4C. re-made 6 mo, reason (rank 1-6):Rocking,spinning
Q4D. re-made 6 mo, reason (rank 1-6):Occlusal errors
Q4E. re-made 6 mo, reason (rank 1-6):Proximal misfit
Q6A. Rank of reasons rec crown: Active caries
Q6B. Rank of reasons rec crown: Endodontic
Q6C. Rank of reasons rec crown: Large restorations
Q6D. Rank of reasons rec crown: Broken restorations
Q6E. Rank of reasons rec crown: Esthetics
Q6F. Rank of reasons rec crown: Change vertical dimen
Q6G. Rank of reasons rec crown: Abutment for RPD
Q6H. Rank of reasons rec crown: Other
Q14. How much of total chair time book for crown
Q18. % time use magnification prepar for crown
Q19. % of time use extra lighting
Q24A. % of time use: Polyvinylsiloxane
Q24B. % of time use: Polyether
Q24C. % of time use: Optial impressions
Q24D. % of time use: Hydrocolloid
Q24E. % of time use: Other
Q28. % use chem agents control hemostasis
Q42_s. Quality images
Q43_s. Quality images
Q44_s. Quality images
Q45_s. Quality images
Q46_s. Quality images
Q47. % of time you/office trim your dies
Q48. % of time use articulating ppr …
Q49. % of time use shim stock to …
Q50. % of time use patient report to …
Q52. Distance lab most commonly use
Q53A. Importance select lab (rank 1-6):Cost
Q53B. Importance select lab (rank 1-6):Delivery time
Q53C. Importance select lab (rank 1-6):Quality of fit
Q53D. Importance select lab (rank 1-6):Esthetics
Q53E. Importance select lab (rank 1-6):Pick up/Ease ship
Q53F. Importance select lab (rank 1-6):Relationship w/lab
Q53G. Importance select lab (rank 1-6):Other
Q1. Perform >=1 crown a month
Q3. % reject or redo in past 6mo
Q7. How likely rec crown on pic#1
Q8. How likely rec crown on pic#2
Q9. How likely rec crown on pic#3
Q10. How likely rec crown on pic#4
Q11. PT has post tooth recent endo, FREQ rec crown
Q12. PT has ant tooth recent endo, FREQ rec crown
Q13. Type of handpiece typically use
Q15. Busyness of practice last 12 months
Q16. Occlusal clearance create for crown
Q17. Ideal locationfor finish line crown
Q20. Material use in crown
Q21. Type of margin prep use for crown
Q22. Material use if tooth #8
Q23. Type of margin prep if tooth #8
Q25. Viscosity use for impression tray
Q26. Viscosity use for syringe around tooth
Q27. Gingival retraction technique
Q29. Who usuall makes final impresion
Q30. Who usually makes provisional crown
Q31. Who usually selects shade posterior crowns
Q32. Who usually selects shade anterior crowns
Q33. Use xrays communicate shade selection w/lab
Q34. Type of provisional material office use
Q35. Type of tray use for dual arch
Q36. Next step after image #7
Q37. Next step after image #37
Q38. Next step after image #38
Q39. Next step after image #39
Q40_1. Freq use Dual arch impression
Q40_2. Freq use PVS injectable material
Q40_3. Freq use wax
Q40_4. Freq use hand articulate
Q40_5. Freq use Optical registration
Q41. If NOT use dual-arch, how register oppos arch
Q51. Best describes source single crowns
Completed 1-Online, 2-Paper