* 1. Submitter Contact Information:

* 2. Company Name:

* 3. Location of Massachusetts Headquarters (city or town):

* 4. Female leader's name:

* 5. Female leader's exact title (example: CEO, President, Managing Director, Executive Director, Owner):

* 6. If the position began or ended in 2016 or 2017, please note that and give the date.

* 7. Business Type (Select one):

* 8. What percentage of your company's upper management (Vice President or higher) is female?
(Please enter a numerical value for this response.)

* 9. What percentage of your organization's Board of Directors or Board of Advisors is female?
(If you do not have a board of directors or advisors, please enter N/A.)

* 10. What percentage of your workforce is female?
(Please enter a numerical value for this response.)

* 11. What percentage of your workforce is considered “diverse"? (Key characteristics of workforce diversity include race, ethnicity, age, religion, and ability.)
(Please enter a numerical value for this response.)

* 12. Annual revenue (or operating budget for non-profit organizations) as of December 31, 2016:
**Note: this number will not be published.

* 13. Number of full-time equivalent (FTE) employees globally in 2016:

* 14. Number of full-time equivalent (FTE) employees in MA in 2016:

* 15. What was your company's single most significant innovation in 2016?

* 16. What is your company's most distinctive or important benefit to it's customers?

Additional / Optional Research Questions

* 17. What initiatives have you implemented to bring diversity into your workplace?

* 18. What is the biggest challenge your organization is managing in the uncertainty of the regulatory and economic climate?

* 19. What leadership attributes do you feel are most important today?

* 20. Do you offer any unique employee benefits? If yes, what are they?

* 21. What rate of growth do you expect for your company in 2016-2017? (likert scale)

* 22. What rate of growth do you expect for the economy of Massachusetts in 2016-2017? (likert)

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