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Please enter your age:
   
 
 
 
Nationality:
 
 
 
Marital Status
 
 
 
How many children do you have?
   
 
 
 
Degrees Earned:
 
Bachelor of Arts (B.A.)
 
Bachelor of Science (B.S.)
 
Master of Arts (M.A.)
 
Master of Science (M.S.)
 
Master of Business Administration (MBA)
 
Doctor of Medicine (M.D.)
 
Doctor of Philosophy (Ph.D.)

 
 
 
How many years have you been working in the field of vascular surgery?
   
 
 
 
How many surgeries have you completed in 2015?
   
 
 
 
How many publications do you have?
   
 
 
Please select an option for each of the following statements:
Strongly Agree Agree Neutral Disagree Strongly Disagree
I am satisfied with my overall work load
 
I am satisfied with the number of hours I work per week
I receive adequate recognition for my work
I receive adequate monetary compensation for my work
My job is meaningful to me
It is easy for me to find a job in my field
I am satisfied with my work environment
I am satisfied with the amount of responsibilities given to me at work
I have a good relationship with my colleagues
Strongly Agree Agree Neutral Disagree Strongly Disagree
I believe my colleagues appreciate me
I believe men and women are treated equally in my job
I believe men and women in my job receive the same compensation
I am satisfied with the number of overtime/on-call hours I have to work
I believe my patients appreciate me
I am satisfied with the amount of time I have for my family
I am satisfied with the amount of time I have for myself
I am satisfied with my work-life balance
I am satisfied with my overall quality of life
 
 
 
If you could choose a specialty again, would you choose vascular surgery?
 
Yes
 
No