Demographic Questions

		Please leave the one best answer for each question, and erase the others
1.	Gender	F	M
2.	Region (where practicing)	Atlantic (NB, PEI, NS, NF) Quebec Ontario West and North (Manitoba to BC, Territories, Nunavut)
3.	Location of practice (use your own definition: pick only one)	Rural	Urban
4.	Years in practice	less than 10 years	more than 10 yrs
5.	Breadth of practice  Broad: the majority of your practice deals with the broad spectrum of family medicine;  Focused: practice restricted to HOE;  Mixed: significant time in both	Broad	Mixed	Focused
6.	Teaching or not  Teaching: you have had at least one learner in family medicine in a structured program in your practice setting for four or more (≥4) weeks (total, not necessarily consecutive) in the past year.	Teaching	Non-teaching
7.	Program director (or equivalent) in COE	Yes	No
8.	Other important descriptor (write in):  _________________________________________________________________________________________________________  _________________________________________________________________________________________________________