Women in Vascular and Interventional Neurology (WIN) Survey 2021/22

Administrative

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* 1. Your first name (For Administrative Purposes):

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* 2. Your last name (For Administrative Purposes):

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* 3. Your email address (For Administrative Purposes):

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* 4. What country do you currently practice in?

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* 5. What is your race?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Multiracial/bi-racial

Choose not to specify

Other (please specify)

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* 6. To which gender do you most identify?

Male

Female

Gender Variant / Non-Conforming

Choose not to specify

Other (please specify)

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* 7. What is your current level of training?

Medical Student

Resident

Fellow

Attending

Other (please specify)

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* 8. If you answered 'Attending' to Question #7 -

How many years of experience?

0-5

5-10

10-15

>15

N/A

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* 9. What is your area(s) of specialty? (Click all that apply)

Neuroendovascular Surgery - Radiology Background

Neuroendovascular Surgery - Neurology Background

Neuroendovascular Surgery - Neurosurgery Background

Vascular Neurology

Neurohospitalist

Neurocritical Care

Advanced Practice Provider

Other (please specify)

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* 10. In what setting do you primarily practice?

Academia

Private Practice

Other (please specify)

Women in Vascular and Interventional Neurology (WIN) Survey 2021/22

Administrative

Question Title

* 1. Your first name (For Administrative Purposes):

Question Title

* 2. Your last name (For Administrative Purposes):

Question Title

* 3. Your email address (For Administrative Purposes):

Question Title

* 4. What country do you currently practice in?

Question Title

* 5. What is your race?

Question Title

* 6. To which gender do you most identify?

Question Title

* 7. What is your current level of training?

Question Title

* 8. If you answered 'Attending' to Question #7 -How many years of experience?

Question Title

* 9. What is your area(s) of specialty? (Click all that apply)

Question Title

* 10. In what setting do you primarily practice?

* 8. If you answered 'Attending' to Question #7 -

How many years of experience?