Q1. Gender: 1-Male 2-Female
Q3. Ethnicity
Q4. Race: White
Q4. Race: Black/African-American
Q4. Race: Asian
Q4. Race: Amer Indian/Alaskan
Q4. Race: Hawaiian/Pac Islander
Q4. Race: Dont know
Q4. Race: Decline to answer
Q5. Insurance: No dental
Q5. Insurance: Private
Q5. Insurance: Public/government
Q5. Insurance: Other
Q5. Insurance: Dont know
Q6. Education level
Q2. Month of birth
Q2. Year of birth
Month of visit
Year of visit