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Age
   
 
 
 
Gender
 
Male
 
Female
 
Other
 
Prefer not to answer
 
 
 
Ethnicity
 
Asian/Pacific Islander
 
Black/African American
 
Hispanic/Latino
 
Native American
 
White/Caucasian
 
Other
 
Prefer not to answer

 
 
 
Employment setting
 
Hospital
 
Clinic
 
Private practice
 
Other

 
 
 
Profession/Job title
   
 
 
 
Years as a healthcare employee
 
Less than 1
 
5-10
 
10-20
 
20-30
 
More than 30
 
 
How often do you:
Never Rarely Sometimes Often Everyday
work/interact with colleagues outside of your generation?
feel issues arise from generation gaps in the workforce?
feel you are treated equally by your superiors/employers compared to colleagues of other generations?
 
 
How comfortable do you feel working in:
Very uncomfortable Somewhat uncomfortable Neutral Somewhat comfortable Very comfortable
a multigenerational workforce?
teams including multiple generations?
 
 
 
Give an example of an issue you have faced that resulted from working with colleagues of other generations.
   
 
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