Demographics

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* 1. I am:

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* 2. Age Group

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* 3. How many years have you been a nurse?

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* 4. Gender

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* 5. I identify my ethnicity as: (Select all that apply)

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* 6. Region where I practice (make your choice using the numbers on the map below):

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Region Map

Region Map

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* 7. Area of practice

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