2022 Membership Survey Demographics Question Title * 1. To which membership group do you belong? Student Early Career (0-4 years from graduation date) Mid-Career (5-14 years from graduation date) Late-Career (15-24 years from graduation date) Late-Career+ (25+ years from graduation rate) Retired Question Title * 2. Are you currently in or have you previously (within the last three years) held a leadership position within The Academy? (Executive Committee, Committee member or SIG Leadership member) Yes No Question Title * 3. In which type of practice do you spend majority of your time? Clinical Academic/Research Question Title * 4. What is your primary clinical setting? Outpatient - Private Practice (Owner) Outpatient - Private Practice (Employee) Outpatient - Hospital Based High School Athletics Collegiate Athletics Professional Athletics Other (please specify) Question Title * 5. In what state do you primarily practice? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside of the United States Question Title * 6. With which gender identity do you most identify? Female Male Transgender Female Transgender Male Non-binary/Non-conforming Gender variant Prefer Not to Answer Not Listed: Question Title * 7. Are you of Hispanic/Latino/Spanish origin? Yes No Prefer Not to Answer Question Title * 8. What is your race?Check all that apply. Asian or Pacific Islander Black or African American Native American or Alaskan Native White or Caucasian A race/ethnicity not listed here Prefer Not to Answer Question Title * 9. What is your individual annual income? $0 - $30,000 $31,000 - $60,000 $61,000 - $90,000 $91,000 - $120,000 $121,000 + Prefer Not to Answer Next
