A. Demographics and Background

1.What is your current age?

Under 30 years old

30-35 years

36-45 years

46-55 years

56-65 years

66-75 years

>75 years

2.What is your gender identity?

Cis Female

Trans Female

Cis Male

Trans Male

Non-binary

Prefer not to say

3.What is your ethnicity? (Allow to choose more than one)

African-American

Asian

Caucasian

Latino or Hispanic

Native American

Native Hawaiian or Pacific Islander

Mixed race/Ethnicity

Prefer not to say

Other/Unknown

4.What is your current primary practice?

Academic full-time

Academic part-time

Retired/not currently practicing

Private practice full-time

Private practice part-time

Administrative/leadership

Research

Per Diem

Locums

Resident/Fellow/ Medical Student

Other (please specify)

5.How many years have you been practicing (including training)?

0-5 years

6-15 years

16-25 years

>25

Other (please specify)

6.What subspeciality (if any) do you primarily practice?

Ambulatory anesthesia

Cardiac

Critical Care

General Anesthesia (no subspecialty)

Neuro

Obstetric anesthesia

Office-Based

Pain Medicine

Pediatric

Regional

Trainee

Other

7.In which setting are you primarily practicing?

University hospital/academic center

Community hospital 

Private practice

Government/Veterans Affairs

Administrative/Leadership

Research 

Locums

Per diem 

Other

8.Marital Status (please select all that apply):

Single

Married/Domestic Partner

Divorced

Widowed

In a Relationship

Other (free text)