| 1. Name? |
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first
last
|
| 2. Permanent Address? |
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Street
|
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City
State
Zip
|
| 3. Personal Email? |
| |
|
| 4. State and/or country of permanent residency?
|
| |
|
| 5. Citizenship: |
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U.S. Citizen/U.S. Permanent Resident
Non-U.S. Citizen/Not U.S. Permanent Resident |
| 6. Gender: |
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Male
Female |
| 7. Year of Birth: |
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(ie 1990) |
| 8. What best categorizes your race/ethnicity? |
| |
White
Asian/Hawaiian
Black
Hispanic
Native American
Other (please specify)
|
| 9. Please specify which undergraduate degree
you received prior to entering the Master of Public Health program? |
| |
|
| 10. Which of the following graduate degrees
did you hold prior to entering the Master of Public Health program? |
| |
No prior graduate degree
Masters of Arts
Master of Business Administration
Master of Education
Master of Health Administration
Master of Health Sciences
Master of Social Work
Doctor of Dental Surgery
Doctor of Veterinary Medicine
Doctor of Education
Juris Doctor
Doctor of Medicine
Doctor of Philosophy
Doctor of Science
Bachelor of Medicine & Bachelor of Surgery
Bachelor of Dental Surgery
Other (please specify)
|
| 11. Which concentration area did you specialize
in for your Master of Public Health degree? |
| |
Biostatistics
Environmental Health
Epidemiology
Public Health Management and Policy
Social and Behavioral Sciences |
| 12. What semester and year did you graduate
with your Master of Public Health degree? |
| |
Spring
(ie
2005)
Summer
(ie
2005)
Fall
(ie
2005) |
| 13. If you completed a dual/concurrent/joint
degree program, please indicate the second degree: |
| |
Master of Business Administration
Master of Science in Nursing
Master of Social Work
Master of Public Policy/Master of Public Administration
Doctor of Veterinary Medicine
Juris Doctor
Doctor of Medicine
Doctor of Dental Surgery/Doctor of Medical Dentistry
Other (please specify)
|
| 14. What is your employment situation after
graduation? (Check only ONE response). |
| |
Work in the same position as prior to or concurrent with your public
health degree program
Work in a new position
Pursue another degree, additional training or fellowship
Actively seeking employment
Do not plan to work
Undecided |
| 15. Will you be working on a full-time basis
or a part-time basis after graduation? |
| |
Full-time
Part-time |
| 16. Which of the following best describes the
type of organization for which you work or will work? (Check only
ONE response). |
| |
Federal Government (US or Foreign)
Military
State or Local Government
Hospital or other Health Care Provider
Association, Foundation, Voluntary, NGO, or other Non-Profit Organization
Consulting Firm
Pharmaceutical, Biotech or Medical Device Firm
Other Industrial or Commercial Firm
University or College of Health Professions
Self-Employed
Other (please specify)
|
| 17. Who is your employer for which you work
or will work for after graduation? (Please list organization name) |
| |
|
| 18. Is your current or pending work based in
the United States? |
| |
Yes
No |
| 19. Is your current or pending position in a
medically underserved area or in a developing country? (Medically
underserved is defined as a population that has access to fewer primary
health care providers per person than the US national norm of approximately
one doctor per 800 people. Please use your best judgment). |
| |
Yes
No |
| 20. What is the gross salary of your current
or pending position? (Please note: potential students often request
salary ranges of public health professionals. Individual response
to this question will be kept strictly confidential; only compiled
data will be shared). |
| |
Less than $10,000
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 - $124,999
$125,000 - $149,999
$150,000 and above |
| 21. If you are not employed in a public health
or health-related field, which of the following is the primary reason?
(Check only ONE response). |
| |
Personal reasons
Lack of jobs in your preferred location
Lack of jobs in your specialty area
More satisfied working in another field
Pursuing additional training in public health or health-related discipline
Pursuing additional training in another discipline
Not applicable
Other (please specify)
|
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Thank you for your time
in completing this survey. |
