EPPAD-Educational Interest Group Supply Survey
Dear colleague, Thank you for your recent participation in the inaugural symposium of Ethiopian Pharmacists and Pharmaceutical Scientists Association in Diaspora (EEPAD). Among the key activities of this event was establishment of interest groups to serve as avenues for diaspora professionals to contribute to Ethiopia’s pharmaceutical sector. The Education Interest Group (EIG) is one such group established during the symposium and enjoyed the participation of professionals from diverse backgrounds. In order to plan for future activities, EPPAD and organizing committee of the EIG believe it is essential to compile a profile of members as well as identify their availability and expertise. Thus, we kindly request that you please complete the following survey. To facilitate future contacts with you, this survey asks for your name and phone number(s). You are voluntarily providing this information to us but have the right not to should you desire to do so. Your contact information will be kept confidential, not shared with outside parties, and only used for contacting you in the future if you indicate your interest in participating in future activities of the association. Completing the survey should take less than 10 minutes. Please continue below when ready to start. Once you complete answering the questions, please click the 'Submit" button at the end so your responses can be recorded. Thank you!
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1. First Name
2. Last Name
3. Gender
Clear selection
4. Phone (Cell)
5. Phone (Work)
6. Age
Clear selection
7. Degree(s) attained (Check all that apply)
7_a. If you selected BS/BA for Question #7, please specify major:
7_b. If you selected MSc/MA for Question #7, please specify major:
7_c. If you selected "Doctorate/Professional" for Question #7, please specify:
8. Please indicate your primary area of Work/Expertise
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9. Workplace/Affiliation
10. Do you have a teaching experience (here in the US, Ethiopia, or other countries)?
Clear selection
11. If Yes to Question #10, how many years/months/weeks?
11_a. Years of teaching:
11_b. Months of teaching:
11_c. Weeks of teaching:
12. If Yes to Question #10, where?
13. If Yes to Question #10, what topic(s)/course(s)?
14. If Yes to Question #10, which delivery format used?
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15. Which area(s) will you be interested to participate? (Check all that apply)
16. If you are interested in didactic teaching, what course(s) would you like to teach?
17. For how long will you be available to volunteer in Ethiopia?
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18. If available to travel, which month(s) is/are best for you to travel to Ethiopia? (Check all that apply)
19. If traveling is not an option to you, will you be available to participate in teaching through Video/Tele conference?
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20. If yes to Question #19, how many hours per week, month, or year can you dedicate?
20_a. Hours per week:
20_b. Hours per month:
20_c. Hours per year:
21. Do you have prior experience in Ethiopia as an expatriate?
Clear selection
22. If Yes to Question #21, please explain your engagement and experience
23. Do you have any other experience you would like to share that is not addressed above? Please describe it briefly below:
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