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. 2019 Jan 1;21(1):E632.
To which program(s) did you apply? Check all that apply.
  • □ Mayo Clinic Jacksonville

  • □ Mayo Clinic Rochester

  • □ Mayo Clinic Scottsdale

How old will you be on match day this year?
  • ○ Younger than 30

  • ○ 30–35 years

  • ○ 36–40 years

  • ○ Older than 40

  • ○ Prefer not to respond

What is your gender?
  • ○ Female

  • ○ Male

  • ○ Prefer not to respond

What is your race/ethnic origin?
  • □ Black

  • □ American Indian/Alaskan Native

  • □ White

  • □ Asian

  • □ Native Hawaiian/Pacific Islander

  • □ Multiracial

  • □ Other/unknown

  • □ Ethnic Origin Hispanic (A person of Hispanic ethnicity may be of any race.)

  • □ Prefer not to respond

What is your highest USMLE step 1 score?
  • ○ < 200

  • ○ 201–210

  • ○ 211–220

  • ○ 221–230

  • ○ 231–240

  • ○ 241–250

  • ○ >250

  • ○ Prefer not to respond

  • ○ Unsure

  • ○ Have not taken USMLE step 1

7. On which of the following social media platforms do you have an account? Check all that apply.
  • □ Facebook

  • □ Yammer

  • □ Twitter

  • □ Instagram

  • □ Snapchat

  • □ LinkedIn

  • □ Doximity

  • □ Tumblr

  • □ Google+

  • □ Research Gate

Which internet resources did you use to research prospective residency programs?
  • □ Basic internet search (e.g. Google)

  • □ Searching social media sites

  • □ A combination of the above

  • □ I don't research prospective programs online

  • □ Other