Are you happy to provide us with some feedback after receiving a toothbrush pack through Dudley’s Community Toothbrush Scheme? Your feedback will help to secure the funding for the toothbrush scheme.

If yes, please provide us with your contact details by completing this form.

In four weeks’ time, Dudley Council will email you a feedback questionnaire to complete. If you prefer us to contact you by phone, please provide us your contact number.

*Complete the survey to be in with a chance of winning a £50 shopping voucher! Competition winners will be chosen at random and selected by the 19th of December 2024.* (Terms and Conditions apply) 

For more information on oral health please visit Healthy Dudley website.

We would like to assure you that your personal information will be stored safely once you have sent it to us. The Children and Young People’s Public Health Team’s privacy notice can be found at Dudley council website.