Leavers Survey (Dental) 1. Demographics 4% of survey complete. Question Title * 1. Gender Male Female Question Title * 2. GDC Number Question Title * 3. Ethnicity White: English White: Irish White: Welsh White: Other Mixed: White & Black Caribbean Mixed: White & Black African Mixed: White & Asian Mixed: Other Black / Black British: Caribbean Black / Black British: African Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Bangladeshi Asian / Asian British: Chinese Asian / Asian British: Other Question Title * 4. Age < 25 26 - 30 31 - 35 36 - 40 41 - 45 >46 Question Title * 5. What is the locality of the post that you are leaving? East Midlands East of England Kent, Surrey and Sussex London North East Northern Ireland North West Scotland South West Thames Valley/ Wessex Wales West Midlands Yorkshire and the Humber Outside UK Question Title * 6. Current year of training DFT LDFT DCT1 DCT2 DCT3 St1 St2 St3 St4 St5 Other (please specify) Question Title * 7. Are you an Academic Trainee Yes No Question Title * 8. Training Scheme Dental & Maxillofacial Radiology Dental Public Health General Dental Practice Oral & MaxFax Surgery Oral Medicine Oral Pathology Oral Surgery Orthodontics Paediatric Dentistry Restorative Dentistry Special Care Dentistry Other (please specify) Question Title * 9. Hours of work Full time Less than full time, please specify % ... Next