OBJECTIVE Although the bachelor's degree is the entry-level degree option supported by the American Dental Hygienists' Association, the majority of dental hygiene programs remain associate degree. The aim of this study was to explore factors impacting entry-level program choice and examine attitudes and perceptions of dental hygiene students pertaining to a bachelor's degree (BS) as the entry-level degree. METHODS A cross-sectional survey research design was utilized with a convenience sample of dental hygiene students (n = 429) from the United States and Canada. The 33-item survey had four sections: demographics, factors influencing program choice, attitudes, and perceptions of a BS. Descriptive and inferential analysis was used to explore the relationship between variables. RESULTS The completion rate was 91% (n = 384). Factors that most influenced program choice included: location (74%), cost (68%), and time to completion (47.7%). Students with mothers who graduated from college were more likely to rank time to completion as their number one factor (37%) (χ2[df2] = 19.6, p < 0.001, phi = 0.33). Students in bachelor's programs were significantly more likely to believe a bachelor's degree better prepared clinicians for duties required in future practice and that the entry-level degree should be raised to a bachelor's degree (p < 0.001). While more students in associate degree program agreed there were opportunities in education without a bachelor's degree (p < 0.05). CONCLUSIONS Cost, time to completion, and location were the factors influencing students' program choice. While the dental hygiene profession advocates raising the entry-level degree to a bachelor's programs, less than 40% of dental hygiene students supported this change.