Objective Through tracking evaluation of WS/T 208-2011 Diagnosis of dental fluorosis,to grasp the application situation of the standard,and to provide basis for further improvement and revision of the standard. Methods According to the requirements of WS/T 536-2017 Guidelines for health standard tracking evaluation,a survey form was created to investigate the promotion,understanding,application,and suggestions and opinions on the standard from personnel using this standard at the provincial,municipal,and county levels. Results A total of 587 standard users from 16 provinces were surveyed.85.95% (497/585) of the respondents were aware of WS/T 536-2017 Guidelines for health standard tracking evaluation through industry training.The percentages of those who believed they understood "Fluorosis Diagnosis""Fluorosis Severity Classification""Examination Methods for Fluorosis" and "Differential Diagnosis of Fluorosis" were 94.86% (554/584),89.74% (525/585),94.66% (549/580),and 89.35% (520/582),respectively.The correct rate for objective questions related to the content of the standard was low,and the correct rates for each knowledge point did not exceed 40%.Regarding the application of the standard,64.53% of the respondents found it difficult to distinguish between the "suspicious" and "very mild" severity classifications. Conclusion This standard needs to continue to strengthen promotion.It is recommended to adjusting the "suspicious" and "very mild" severity classifications when revising the standard in order to strengthen the distinction between each severity classification.