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Question 1
Employee status:
Full-time staff member/administrator
Part-time staff member/administrator
Full-time faculty member/instructor
Part-time faculty member/instructor
Question 2
Number of years working at this college:
Less than one year
1-5 years
6-10 years
11-15 years
16-20 years
More than 20 years
Question 3
What is your department? (colleges should customize this question and provide a list of departments for a drop-down menu)
Select Answer
Department listing
Question 4
Number of years working in
current department
:
Less than one year
1-5 years
6-10 years
11-15 years
16-20 years
More than 20 years
Question 5
At how many higher education institutions (other than this college) have you worked?
None
One
Two
Three
Four or more
Question 6
Please indicate the number of
staff
you supervise (enter numeric response):
Please enter text below:
Please enter text below:
I do not supervise staff.
Question 7
Please indicate the number of
students
you supervise (enter numeric response):
Please enter text below:
Please enter text below:
I do not supervise students.
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