Certainly! Based on validated research, here is a standardized Knowledge, Attitude, and Practice (KAP) questionnaire on halitosis, adapted from the study “Knowledge and Management of Halitosis in France and Lebanon: A Questionnaire-Based Study”.
Section 1: Demographic Information
Age: _______
Gender:
Male
Female
Other
Occupation:
Dental Student
Dental Practitioner
Other Healthcare Professional
Non-Healthcare Professional
Years of Professional Experience (if applicable): _______
Section 2: Knowledge
Have you heard of halitosis (bad breath)?
Yes
No
What are the common causes of halitosis? (Select all that apply)
Poor oral hygiene
Tongue coating
Periodontal diseases
Gastrointestinal issues
ENT infections
Smoking
Certain foods (e.g., garlic, onions)
Systemic diseases (e.g., diabetes)
Others: ___________
Can halitosis be a symptom of systemic disease?
Yes
No
Not sure
Is tongue cleaning effective in managing halitosis?
Yes
No
Not sure
Section 3: Attitude
Do you believe halitosis can impact an individual's social interactions?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Would you feel comfortable informing a close friend or family member if they had halitosis?
Yes
No
Depends on the person
Do you think individuals with halitosis should consult a dental professional?
Yes
No
Not sure
Section 4: Practice
How often do you brush your teeth?
Once a day
Twice a day
More than twice a day
Occasionally
Do you use any of the following? (Select all that apply)
Mouthwash
Dental floss
Tongue cleaner
Chewing gum or mints to mask breath
None of the above
Have you ever sought professional treatment for halitosis?