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Support Staff Research Study Pre-Screening Questionnaire
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* Indicates required question
First and Last Name
*
Your answer
Email Address
*
Your answer
Age
*
Your answer
Job Title
*
Your answer
Office/Department
*
Your answer
Institution of Employment
*
Your answer
Institution of Employment Type
*
Choose
Four-Year Public Institution
Four-Year Private Institution
Two-Year Public Institution
Are you a classified employee (paid hourly)?
*
Yes
No
Are you employed full-time or part-time?
*
Full-time
Part-time
Do you identify as a woman?
*
Yes
No
What are your pronouns?
he/his
she/her
they/their
ze/zir
Other:
Clear selection
What is the highest degree you have completed?
*
Your answer
Are you currently enrolled in school? If yes, what degree are you currently seeking?
*
Your answer
What are the main functions of your job?
*
Your answer
Please specify your race and/or ethnicity:
*
Your answer
Please provide a pseudonym (a fictional name that will be used throughout this study to promote participant anonymity):
*
Your answer
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