Demographics, subjects of interest and methods of communication

The purpose of this survey is to gather data to help MWIA better serve its members. Names are not required, and all information provided will be treated with the strictest confidentiality.

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* 1. Which MWIA region do you live and work in?  (http://mwia.net/about/members)

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* 2. What is your age? 

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* 3. What is your marital status?

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* 4. Do you have children?

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* 5. What is your career grade and specialty? Tick as many boxes as apply.

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* 6. How would you assess your job satisfaction?

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* 7. Do you have direct experience of the application of gender medicine in your clinical practice? Tick whichever apply.

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* 8. Do you feel that you have ever been discriminated against in your career because you are a woman?

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* 9. Have you ever suffered from sexual harassment or bullying? 

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* 10. Have you ever suffered from any illness related to your work? Tick whichever apply.

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* 11. Have you ever suffered from blackmail or extortion for career progression?

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* 12. Regarding maternity and parental leave in your country: Tick whichever apply

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* 13. Have you ever taken maternity and/or parental leave? Tick whichever apply

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* 14. Is it possible to work part-time for one year or more following return to work after having a child, without detriment to your career?

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* 15. What sort of childcare did you use? Tick whichever apply

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* 16. How did you hear about MWIA?

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* 17. What are MWIA's strengths? Tick whichever apply

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* 18. What issues are most important for MWIA to address? Please tick your top 5

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* 19. Are you interested in being a mentor or do you have experience in mentoring? Tick whichever apply.

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* 20. How would you like MWIA to communicate with you? Tick as many as apply

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* 21. Would you like to be more actively involved in MWIA?

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* 22. If you are aged 40 or under, are you interested in becoming involved in the young MWIA forum (yMWIA)?

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* 23. If you are aged 40 or under, how often would you like yMWIA to communicate with you?

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* 24. If you are aged 40 or under (tick whichever apply)

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* 25. All information provided will be treated with the strictest confidentiality.  
I understand that my data will be part of the statistical analysis of responses to the survey and results may be published in the future

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