Ohio AAP Diversity and Demographic Survey

As a component of our commitment to Diversity Equity and Inclusion (DEI), the Ohio AAP is capturing data that will help us understand our current landscape and improve our education, programs and advocacy for our members and the children they serve. The Ohio AAP has based these questions on standards set by the National AAP and other experts.

Answering these questions is optional and your answers will not impact your participation in any project, activity or committee. If any question does not apply to you, or you prefer not to answer, please skip that question. 

We are not capturing personal data in this survey; results cannot be connected back to any individual. Data collected will not be shared outside of the Ohio AAP team who will be evaluating this information. The Ohio AAP website has data security protocols in place. If you have questions about this survey, please contact Brooke Powell at bpowell@ohioaap.org.

Demographic Questions - Individual

About your practice

Please describe the community in which your primary practice/position is located. Select all that apply.
Which languages are most represented in your practice? Select all that apply.
What racial or cultural group(s) describe your patient population? Select all that apply.
How many physicians are in your practice?
Which best describes your primary employment setting, that is, the setting where you spend most of your time.
Which best describes your primary employment setting, that is, the setting where you spend most of your time.
Which types of providers are included in your practice? Select all that apply.

About yourself

How long have you been practicing medicine?
What is your age?
What is your gender?
With what racial or cultural group(s) do you identify? Select all that apply.
Which languages are you capable of speaking fluently? Select all that apply.
Which of the following best represents how you think of yourself?
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