DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY

KARNAVATI SCHOOL OF DENTISTRY, UVARSAD, GANDHINAGAR.

Dentist’s Health Survey
1. Please do not write your name.
2. The data is for statistical analysis only and if you have any suggestion
then please contact –
vivek_tarsaria08@yahoo.co.in
durgeshbailoor26@gmail.com

DOB : - - Age(today):______
3. Years of practice :
4. Year of Graduation: (BDS)___________ (MDS)_________
5. Area of practice--District :___________

NO QUESTIONS Strongly Weakly Do Weakly Strongly

Agree Agree not Disagree Disagree
know
1 I believe that autoclaving is better than
boiling the instrument s in my practice.
2 I always change instrument trays for each
patient.
3 I believe that eye glasses should be worn
during treatment to protect ourselves.
4 I wear the eye glasses during treatment.
5 I believe that Rubber dam should be used
for each patient.
6 I have been taken Hepatitis-B
vaccination.
7 I believe that sitting dentistry is better
than standing dentistry.
8 I am suffering from low back pain.
9 I am not comfortable with indirect vision.
10 I am suffering from one of the mention
below.
Cervical spondylitis, varicose vein ,knee
ankle joint arthritis, any other
musculoskeletal pain.
11 I work more than 8 hours a day.
NO QUESTIONS Strongly Weakly Do Weakly Strongly
Agree Agree not Disagree Disagree
know
12 I am not satisfied with my work.(more
likely to have low back pain)
13 I work continuously and not taking rest in
between.
14 I believe that 4 handed dentistry more
convenient.
15 I use ergonomically designed chairs and
tables.
16 I use ultraviolet light curing system and
laser in my practice.
17 I wear safety glass during the laser
treatment.
18 I use RVG in my practice.
19 I believe that there should be a separate
room for x-ray machine.
20 I use protective barrier/lead apron as a
safety measure.
21 I believe that automatic triturator should
be used to overcome mercury hazards.
22 I am suffering from 1 of mention below;
Profuse salivation, tremor of hand,
insomnia, irritability .Give any one
applicable by circle on it.
23 I believe clinic should be ventilated with
exhaust fan.
24 I have known allergies to dental
materials.
25 I have allergy of latex.
26 I have allergy of talcum powder.
27 I have a problem of frequent percutaneous
injury with needle, hand scalers, endo
files, endo explorer, endo elevator, matrix
band.
28 I am aware usefulness of TLD batch.
29 I believe that it should be used in a
routine.
NO QUESTIONS Strongly Weakly Do Weakly Strongly
Agree Agree not Disagree Disagree
know
30 I use fast speed film ‘type E’ in my
practice.
31 I do not have any practice related stress or
do not have to work under constant load.
32 I believe that informed consent should be
taken from each patient.
33 I am aware that special guideline exists
for disposal of biological waste.
34 I follow the guideline properly.
35 I believe that approval should be obtained
from pollution control board of particular
region.
36 I have obtained it.
37 If I had to choose again I will not choose
dentistry as a career.
38 I smoke regularly.
39 I chew tobacco, guttka, pan regularly.
40 I use alcohol to relax on weekend.
41 I need to take antidepressant or muscle
relaxant to relax at the end of the day.
42 I am fed up with the dental practice & just
want to leave it &take long vacation.
43 I feel dentist who work in teaching
hospital are happy in life.
44 I feel who are in full time practice are
happy in life.
45 A balance between practice and academic
may be the best option.