Learning and Evaluation/Question Bank/Question objective/To learn demographic attributes about a survey respondent

Participant's username

What is your username?

(OPEN)

Location of origin:Region country state province city

Which country are you based in?

(OPEN) or Drop-down with "Other"

Affiliation or relationship with projects

What institution are/were you based at?

(OPEN)

Are you an employee of [name of organization/group]

Yes No Decline to state

(Wikimedian in Residence only) Tell us about your residency format, was it:

Part-time Full-time Decline to state

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