SurveyMonkey Powered Online Survey

Thank you for taking a few minutes to complete the MDS Membership Needs Assessment Survey. Your input is necessary to guide MDS in the development of educational programs that meet your needs.

Section 1: General Information

Question Title

* 1. Are you an MDS member?

Yes

Question Title

* 2. What is your occupation?

Clinician

Faculty

Fellow

Health Professional

Industry

Researcher

Resident

Retired

Student

Other (please specify)

Question Title

* 3. What is your work setting?

Academic or Teaching Institution

Residency Program

Hospital

Private Practice

Managed Care Organization

Government

Other (please specify)

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* 4. Country of practice:

Question Title

* 5. How long have you been in practice?

Less than 5 years

5 to 10 years

11 to 15 years

16 to 20 years

More than 20 years

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* 6. Do you have high speed Internet access?

Yes

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* 7. What is your gender?

Male

Female

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* 8. What is your age?

Under 30 years old

31-40 years old

41-50 years old

51-60 years old

Over 60 years old