A.__Home zip code;

B.__Business zip code;

C.__Birth year;

D.__Gender;

E.__Race;

F.__Current employment status: employed in a health care field, employed in another field, seeking health care employment, temporarily not working and not seeking work, retired or not intending to return to work, or some specified other status;

G.__Practice setting: a hospital, private practice, community clinic or nursing home; an academic, governmental or other institution; or some specified other setting;

H.__Field of licensure, registration or certification;

I.__Specialty credential, if any;

J.__Whether the person plans to be working in health care 5 years from now;

K.__Basic and advanced education, degree earned and state where educated;

L.__Number of hours hired to work in the person's primary position per week, average hours worked per week, preferred number of hours per week and number of hours providing direct care per week;

M.__In addition to the person's primary position, number of hours worked per week for other health care employers, if any; and

N.__If not working in a health care occupation, the reasons: issues of wages or benefits, inability to find position desired, pursuit of education opportunities, pursuit of other career opportunity, retirement or some other specified reason.