Please fill out this brief survey so the program can be better tailored to your expertise and
interests. If you have any questions or comments about this survey, please contact us at mentoring@healtheconomics.org

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* 1. Please provide your name

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* 3. Degrees completed. Select all that apply.

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* 4. Field of study of highest degree.

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* 5. Year of graduation for highest completed degree. (Please note that we are only accepting mentors with seven or more years of post-graduation experience. If your year of graduation is after 2019, we thank you for your interest and hope you will submit a mentoring application in future years.)

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* 6. How would you describe your career level? The descriptions below serve as a broad guide and may not be fully applicable to different contexts and personal
circumstances

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* 9. Please select up to five areas most relevant to your research.

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* 10. Please indicate the areas where you feel comfortable providing mentoring support. Please select all that apply.

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* 11. In which of the following institutional environments do you have experience of working? Please select all that apply.

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* 12. Which of the following describes your current institution

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