Dimension | Item | No (0) | Yes (1) |
---|---|---|---|
Overall Health | Does your health keep you from doing any of you daily activities? | Â | Â |
 | Do you have any movement difficulties? |  |  |
 | Do you have any disease that needs monitoring? |  |  |
Oral Health | Do you consider it important to take care of your mouth? | Â | Â |
 | Do you believe that mouth diseases can be avoided? |  |  |
 | Do you consider yourself responsible for your oral health? |  |  |
 | Do you consider it important to have all the teeth in your mouth? |  |  |
Infrastructure | Do you have a bathroom in your house? | Â | Â |
 | Do you have electric power in your house? |  |  |
 | Do you have running water in your house? |  |  |
 | Do you have sewage collection at your house? |  |  |
Healthcare Services | Are you familiar with the public primary care unit where you can visit? | Â | Â |
 | Do you use a public primary care unit? |  |  |
 | Are you accompanied by an oral health team? |  |  |
 | Do you see the dentist without paying? |  |  |