Women in Practice Personal Information Question Title * 1. How old are you? OK Question Title * 2. What is your marital status? Single Married Previously Married OK Question Title * 3. Which statement describes your position best? Sole breadwinner Main breadwinner Joint breadwinner None of the above OK Question Title * 4. How many children do you have? 0 1 2 3 4 5 6 More than 6 OK NEXT