MD/MBA Graduate Survey

1. Background Information

20%

Questions with a * signify that answers are required

1. In what year were you born?

	Year
Year of Birth	In what year were you born? Year of Birth Year

2. What is your gender?

What is your gender? Male

Female

3. In what state do you currently reside?

	State
State of Current Residence	In what state do you currently reside? State of Current Residence State

4. What medical degree do you possess?

What medical degree do you possess? MD

5. In what year did you graduate medical school?

	Year
Year of Graduation	In what year did you graduate medical school? Year of Graduation Year

6. From which institution did you receive your MD/DO degree?

	School
Medical School	From which institution did you receive your MD/DO degree? Medical School School

Other (please specify)

7. What year did you receive your MBA?

	Year
Year of Graduation	What year did you receive your MBA? Year of Graduation Year

8. From which institution did you receive your MBA?

	School
Business School	From which institution did you receive your MBA? Business School School

Other (please specify)

9. Did you attend a formal, integrated, MD/MBA dual-degree program?

Did you attend a formal, integrated, MD/MBA dual-degree program? Yes

10. What additional degrees do you possess, other than a baccalaureate, MD and MBA?

What additional degrees do you possess, other than a baccalaureate, MD and MBA? PhD PharmD MPH	MA/MS JD None	Other
Other (please specify)

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