The challenge in dental hygiene education is to develop valid indicators with a reliable questionnaire to establish a qualifying list of dental hygiene program competencies that aligned with the Commission on Dental Accreditation (CODA) standards. The first phase of the study was the creation of a questionnaire and performing a Cohen's Kappa statistical analysis to establish the inter-rater reliability of the indicators during the pre-stage development. The second phase was to qualify these indicators using the content validity ratio proposed by Lawshe with Subject Matter Experts (SME's). The SME's were asked to rate the level of representativeness of indicators in each skill set on the questionnaire. Indicators that were deemed essential suggested alignment with the CODA standards and incorporated into the researcher's dental hygiene program assessment manual.