Toothbrush Preference Survey - Anatomical Design™ Tooth Brush & Tooth Polisher

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Respondent’s Personal Details

Respondent's Name(Required)

First Last

Respondent's Email(Required)

Respondent's Phone

Dental or Dental Hygiene Qualification

Length of training (years)

Please enter a number from 1 to 24.

Educational Institution attended

Full Postal Address of Institution

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year of Graduation

Years of Clinical Experience after graduation

Please enter a number from 1 to 80.

Are you still involved in full-time or part-time clinical practice

Full-time

Part-time

Questions Relating to Your Personal Toothbrush Use / Preference(s)

Have you ever used an electric toothbrush exclusively and continuously for several weeks or months in preference to a manual toothbrush?

Yes

If YES, which brand of electric brush?

Which brand of toothbrush (manual or electric) are you currently using?

Please identify the toothbrush you are using (specific name / promotional description on the brush blister pack)

How long have you been using this type of brush? (years, months, weeks)

Do you consider this brush helps you perform a high level of tooth cleaning?

Yes

If NOT, WHY NOT, and what do you think the main problems are with this brush?

Do you alternate by also using a SECOND brush, on different days of the week?

Yes

BRAND and Brush TYPE of the alternate brush (Name of brush on Blister Pack)

And if you so wish, please add your comments regarding the comfort & effectiveness of this 2nd brush

Questions Relating to Your Past Toothbrush Use / Preference(s)

Have you ever used exclusively and continuously a Colgate 360 degree manual toothbrush for your daily oral hygiene for a 3 month period?

Yes

Have you ever used exclusively and continuously an ORAL-B CrossAction Design manual toothbrush for your daily oral hygiene for a 3 month period?

Yes

Have you ever used exclusively and continuously a REACH manual toothbrush for your daily oral hygiene for a 3 month period?

Yes

Have you ever used exclusively and continuously a SENSODYNE manual toothbrush for your daily oral oral hygiene for a 3 month period?

Yes

Have you ever used exclusively and continuously a BAMBOO manual toothbrush for your daily oral oral hygiene for a 3 month period?

Yes

Questions Relating to Free Toothbrush Samples, and Whether You Try These

Do you receive in your practice free toothbrush samples?

Yes

If YES, which 3 toothbrush brands do you receive most samples of? Please record in descending order the most common BRAND received, the 2nd most common, then the 3rd most common:

Brand 1

Brand 2

Brand 3

If you receive free samples, do you keep all of these for at least 3 months in order to personally evaluate their comfort and effectiveness?

Yes

One Manufacturer’s Claims Relating to the ‘World Status’ of Its Toothbrush Brand

A toothbrush manufacturer includes the following claims on its toothbrush VALUE PACK blister packs :

#1 CLAIM: World’s #1 Dentist Recommended Toothbrush Brand (this 2-brush pack is made in China).
#2 CLAIM: #1 Toothbrush Brand Used by Dentists Worldwide (this 3-brush pack is made in Ireland).

If you are familiar with the Toothbrush Company making these claims, have you ever used this company’s Toothbrush Brand exclusively for your personal daily oral hygiene for 3 continuous months or longer?

Yes

As a clinical practitioner, do you recommend this Brand of toothbrush to members of your family, and to patients who attend your practice?

Yes

Interdental Cleaners

Do you personally use interdental cleaners for oral hygiene?

Yes

Do you advise your teenage & adult family members to use interdental cleaners?

Yes

Do you recommend to patients that they use interdental cleaners for oral hygiene?

Yes

The Anatomical Design™ Toothbrush and Tooth Polisher is a paired personal oral hygiene product for daily use at home in between regular visits to a dental hygienist for Dental Prophylaxis / Clean & Polish.

When available in 2026, will you buy and try this new paired product and evaluate the brush & polisher for: 1) mouth comfort; 2) cleaning effectiveness; 3) possible recommendation for use by teenagers and adults attending your Practice?

Yes

Your time and effort in formulating responses to the above questions is very much appreciated. All data received will be collated, analysed and included in a clinical paper to be prepared and submitted to a peer-reviewed journal for consideration as a publication.

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