You are on page 1of 3

To the participating alumnus/alumna of Centro Escolar University School of Dentistry Manila,

I am a Junior Clinician of DMD3CC Research. My team and I are conducting a tracer study for
the employment status of dentistry graduates who are currently working in Manila. We are
interested in participants who are either still in the dental field or have a career in a different
field. We appreciate your participation. Please answer the items below.

Personal Profile

Name (optional): .

Age (please checkmark your answer):

O 22 31 years old O 32 41 years old O 42 51 years old

O 52 61 years old O 62 71 years old

Sex: O male O female

Civil Status: O single O married O widowed

Year Graduated in Dentistry:

O 1980 1990 O 1991- 2000 O 2001 2010 O 2011 present

PLEASE TURN OVER TO ANSWER THE ITEMS ON THE BACK SIDE.


Employment Status

If you are a dental practitioner, please answer the items in column IIA.

If you are not a dental practitioner, please answer the items in column IIB.

If you are a dental professional and earn a second income, please answer the items in both
columns IIA and IIB.

You may check more than one answer for an item if applicable.

Column IIA Column IIB


Item 1. Please state the district in Manila Item 1. Please state the district in Manila
where your clinic is located:... where you are employed:...
..

Item 2. Field of Specialization Item 2. Please specify your field of work


O cosmetic O endodontic O periodontic
O surgery O pediatric O prosthodontic
O general practitioner

Item 3. Type of Practice Item 3. Years of Employment


O solo O partner O group O14 O59 O 10 14 O 15 19
O 20 24 O 25 29 O 30 or more years
Item 4. Years in Practice
O14 O59 O 10 14 O 15 19 Item 4. Monthly Income
O 20 24 O 25 29 O 30 or more years O 10,000-29,000 O 30,000-49,000
O 50,000-69,000 O 70,000-89,000
Item 5. Monthly Income O 90,000 and above
O 10,000-29,000 O 30,000-49,000
O 50,000-69,000 O 70,000-89,000 Item 5. Professional Affiliations or
O 90,000 and above Associations:
.....
Item 6. Professional Affiliation(s), for example ..
Philippine Dental Association or PDA:
..... Item 6. How long did it take for you to be
.. employed after graduation?
O 1-3 months O 4-6 months O 7-9 months
Item 7. Nature of Employment O 10 months or more
O academic O community O military dentist
O non-government O government dentist Item 7. Employment after graduation?
O private ..
..
Item 8. How long did it take for you to be
employed/establish your own dental clinic
after graduation?
O 1-3 months O 4-6 months O 7-9 months
O 10 months or more

Item 9. Employment after graduation?


..
..