JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online Questionnaire
Women Leadership Project
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name/phone number/email (not compulsory, only for the purpose of the lucky draw so that we can contact you)
Your answer
PART A
Some background information about you:
What is your age bracket?
*
Choose
18-25 years old
26-30 years old
31-35 years old
36-40 years old
40 years old plus
Do you currently work?
*
Yes
No
If so, what kind of organisation is it?
University
Government or the Public Sector
Private Business or Industry
Private non-profit sector/NGOs
International Agency
Local, National or International News Media
Other:
Clear selection
What is the highest degree that you have completed?
High School degree or less
Bachelor, undergraduate or equivalent (S1 or D3)
Master, post-graduate or equivalent Degree (S2)
PhD or Doctorate equivalent (S3)
Other:
Clear selection
In what field/ discipline was your Australian study in? [please provide answer in box below]
Your answer
In what city in Australia did you undertake your study?
Your answer
What was the highest degree/ training award you received from an Australia institution?
High School degree or less
Bachelor, undergraduate or equivalent (S1 or D3)
Master, post-graduate or equivalent Degree (S2)
PhD or Doctorate equivalent (S3)
Other:
Clear selection
What kind of scholarship/ award did you have?
Choose
Australian Government award
Australian education institution
Australian other
Indonesian Government award
Indonesian education institution
Indonesian other
What is your marital status?
Single
Married
Widow
Other:
Clear selection
Are you currently living in Indonesia?
Yes
No
Clear selection
If so, what does city / region you've been living?
Your answer
Do you have children and/ or responsibilities as career/ dependent responsibilities
Yes
No
Clear selection
If yes, who do you care for?
Dependent children
Dependent partner
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
