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Assessing the readiness of your community to address water fluoridation will guide you where to begin and what actions to take, regardless of whether you are working to implement or preserve fluoridation in your community. The following questionnaire will help determine readiness and help you move forward with community water fluoridation.
How to Use the Questionnaire
Answer the questions. Do some research as needed.
Review your results.
Go to the section that you are referred to the most. If you are referred equally to more than one section, choose the section in the order of the Toolkit Table of Contents — or the section that you feel you need the most.
Keep the answers as they might be helpful in strategizing your work.
Community Fluoridation History
Has your community ever been fluoridated before?
Yes, and it is still fluoridated
Yes, but it isn't fluoridated any more
Find out the status of public water systems in your community
the US Census
or other reliable source.
Note: parents of young children and the elderly can be good audiences for outreach.
Under 5 years (%)
Under 18 years (%)
65 years and over (%)
Race / Ethnicity
American Indian / Native Hawaiian (%):
(Search online with keywords, "voter registration" and the name of your state):
Population registered to vote (%):
Health Insurance Coverage
Private Insurance (%):
How many people does your public water system serve?
Find out about your public water system
Do your public water systems supply other communities?
What communities near yours are fluoridated?
Find out about communities near you
Community Knowledge and Climate
In your opinion, how knowledgeable is your community about water fluoridation? (including what it is and the benefits)
Not at all knowledgeable
In your opinion, what is the community's attitude towards CWF?
How civically engaged are members of your community?
Not at all engaged
Decision-Makers and Community Leaders
Who in your community decides on water fluoridation?
Board of Select
Board of Health
(Conduct an online search if you are not certain about who makes the decision.)
What is the attitude of the decision-makers towards CWF?
Mixed (e.g. some decision-makers support water fluoridation and others do not. Mark down the number of decision-makers who align with each option above. )
This field is for validation purposes and should be left unchanged.
Preventing a Rollback
How to Talk About Water Fluoridation
Finding Community Champions
Talking to Policymakers
Building Community Support for Water Fluoridation
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