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* 1. Submitter Contact Information:

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* 2. Company Name:

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

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* 4. Female leader's name:

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

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

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* 7. Business Type (Select one):

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

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* 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.)

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

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* 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.)

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**Note: this number will not be published.

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

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

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

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

Additional / Optional Research Questions

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

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

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

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

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

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

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