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1. What is your gender:
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2. What is your primary ethnic background:
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Other:
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3. What is your marital status:
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4. City size of primary practice location:
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5. State of primary practice location:
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6. Zip code of primary practice location:
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7. What is your year of graduation:
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8. Which Optometry program did you graduate from:
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9. Did you complete a residency:
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Yes
No
(if no, skip to question 14)
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10. What type of residency:
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11. Your residency's affiliation:
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12. My residency experience has been beneficial in obtaining my position in practice:
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13. My residency experience has been beneficial in practicing optometry:
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14. What was your INITIAL PRIMARY practice setting:
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First position after graduation
Other:
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15. Did you also have a secondary practice setting:
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Yes
No
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16. What is your CURRENT PRIMARY practice setting:
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Other:
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17. Do you currently have a secondary practice setting:
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Yes
No
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18. How long did you spend in your initial optometric position (the first one after graduation)
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less than 6 months
6 months to one year
1 to 5 years
more than 5 years
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19. Estimate the percentage of your time spent performing the following functions
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20. Please indicate how you feel on average about your satisfaction with your current position:
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I feel satisfied with my position:
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21. At graduation what was the total of your student loans:
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22. What are your plans for the future:
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In Five Years:
Other:
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23. What are your plans for the future:
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In Ten Years:
Other:
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24. What are your plans for the future:
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In Fifteen Years:
Other:
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25. What was your initial salary (first position after graduation):
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26. What is your current salary:
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27. Are you an AOA member (or member of state affiliate):
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Yes
No
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28. Are you a Candidate or Fellow in the American Academy of Optometry:
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Yes
No
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29. Would you still choose optometry as a profession:
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Yes
No
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30. If no, would you choose another health profession
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Yes
No
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31. Would you advise your children to choose optometry as a profession:
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Yes
No
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