Early Childhood Committee Questionnaire Question Title * 1. What is your full name? Question Title * 2. What are your credentials? Question Title * 3. What is your preferred email address? Question Title * 4. What type of practice do you work at? Residency program Solo practice Group practice Hospital or health care system Academic institution Other (please specify) Question Title * 5. What is your position at the practice? Question Title * 6. Are you a member of the national AAP? Yes No Question Title * 7. If you are involved in any national AAP Councils or Sections, please list them below: Question Title * 8. Are you a part of the PA Chapter, AAP? (Please note that chapter membership is required for committee members.) Yes No Question Title * 9. If you are a member of any other PA AAP committees, please list them below: Question Title * 10. Gender: How do you identify? Man Non-binary Woman Prefer not to say Prefer to self-identify: Question Title * 11. What is your ethnicity? White, non-Hispanic Black, non-Hispanic Latino or Hispanic Asian or Asian American Native American Prefer not to say Prefer to self-identify: Question Title * 12. What is the city and zip code of your practice? Done