1. SAMBA Mentee Survey

* 1. Please complete the section below:

* 2. Please indicate your age

* 3. Please indicate your stage of training

* 4. If you have completed your training, please indicate how long have you been practicing anesthesiology?

* 5. If you are already in practice, please indicate the type of anesthesia practice:

* 6. If you are in academics, please indicate your academic rank?

* 7. Do you hold an administrative position in your hospital?

* 8. Please indicate if you are a member of the following professional organization:

* 9. Have you had a formal mentor in the past?

* 10. Have you been a mentor in the past?

* 11. Would you like to be assigned a SAMBA mentor?

* 12. Are you seeking guidance regarding issues relating to academic practice in anesthesiology?

* 13. Are you seeking guidance guidance regarding issues related to private practice in anesthesiology?

* 14. Are you seeking guidance regarding research issues?

* 15. Are you seeking advice regarding manuscript publication?

* 16. Are you seeking guidance regarding work/life issues?

* 17. Are you seeking guidance regarding time management issues?

* 18. Are you seeking advice regarding professional negotiation?

* 19. Are you seeking networking opportunities?

T