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* 1. Are you in technical leadership, HR, or consulting?

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* 2. What gender do you identify as?

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* 3. What is your age?

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* 4. Please specify your ethnicity. (You may check multiple.)

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* 5. What is the highest degree or level of school you have completed? (If you’re currently enrolled in school, please indicate the highest degree you have received.)

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* 6. If you hold a degree, please specify the field, specialty, or major associated with the highest degree you have earned. 

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* 7. Which of the following categories best describes your employment status?

(If not employed, skip to Question 12)

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* 8. What is your job level?

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* 9. What is your job title?

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* 10. Size of company in terms of number of employees

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* 11. What is your organization's industry?

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* 12. What is your Name?

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* 13. My I contact you for more information?

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* 14. May I use your name for quotes or mentions in publications?

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* 15. If I may use your name or if you would like for me to contact you first, please provide your email address and phone number.

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* 16. Company Name:

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* 17. May I use your company name for quotes or mentions in publications? 

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