Section 1: Personal Information
1. Full Name:
- [ ] First Name
- [ ] Middle Name
- [ ] Last Name
2. Date of Birth:
- [ ] DD/MM/YYYY
3. Gender:
- [ ] Male
- [ ] Female
- [ ] Non-binary
- [ ] Prefer not to say
4. Nationality:
-[]
5. Contact Information:
- Email: [ ]
- Phone Number: [ ]
- Address: [ ]
6. Unique Identifier (e.g., ID Number): if Applicable
-[]
Section 2: Demographics Information
1. Age:
-[]
2. Marital Status:
- [ ] Single
- [ ] Married
- [ ] Divorced
- [ ] Widowed
3. Number of Dependents:
-[]
4. Educational Background:
- Highest Degree: [ ]
- Specializations: [ ]
5. Country of Residence:
-[]
Section 3: Job Status
1. Current Employer:
-[]
2. Job Title:
- [ ] RN, RMW, Advance Practitioner
3. Employment Type: drop down
- [ ] Full-time
- [ ] Part-time
- [ ] Contract
- [ ] Temporary
4. Employment Start Date:
- [ ] DD/MM/YYYY
5. Job Description:
-[]
Section 4: Licensure Status
Are you licence yes or no
If no why?
If yes
1. License Number if registered:
-[]
2. Issuing Authority:
-[]
3. License Expiry Date:
- [ ] DD/MM/YYYY if applicable
4. License Status:
- [ ] Active
- [ ] Inactive
- [ ] Expired
5. Countries or States Where Licensed:
-[]
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Section 5: Professional Educational Training Status for workers only.
1. Institutions Attended:
-[]
2. Degrees Earned:
-[]
3. Specializations and Certifications:
- [ ] to be inputted by participants
4. Continuing Education and Training Courses Completed:*
- [ ] if applicable
5. Training Dates:
- [ ] DD/MM/YYYY to [ ] DD/MM/YYYY
Section 6: Student Educational Status for students only.
1. Current Educational Status:
- [ ] First-Year Student
- [ ] Second-Year Student
- [ ] Third-Year Student
- [ ] Fourth-Year Student
- [ ] Graduate Student
- [ ] Postgraduate Student
- [ ] PhD Candidate
- [ ] Professor
- [ ] Other: [ ]
2. Institution Currently Attending:
-[]
3. Program of Study:
-[]
4. Expected Graduation Date:
- [ ] DD/MM/YYYY
5. Academic Achievements and Awards:
-[]
6. Research Focus (for PhD Candidates and Professors):
-[]
7. Teaching Experience (for Professors):
-[]
Section 7: Compensation Details
1. Hourly Pay Rate:
- [ ] in dollars
2. Monthly Salary:
- [ ] to be inputted in dollars
3. Benefits:
- Health Insurance: [ ] Yes / [ ] No
- Retirement Plans: [ ] Yes / [ ] No
- Other Benefits: [ ] if applicable
4. Overtime Pay:
- [ ] Yes
- [ ] No
5. Other Compensation Details:
-[]
Section 8: Working Hours
1. Monthly Working Hours:
- [ ]to be inputted by participants
2. Weekly Working Hours:
- [ ] to be inputed by participants
3. Shift Patterns: drop down
- [ ] Day
- [ ] Night
- [ ] Rotating Shifts
Section 9: UnEmployment and job Search infor
1) Reasons for Unemployment (if applicable):
- [ ] Job Market Conditions
- [ ] Relocation
- [ ] Career Change
- [ ] Other: [ ]
2. Status of Job Search:
- [ ] Active
- [ ] Passive
- [ ] Not Seeking
3. Types of Employment Sought:
- drop down(full time,part time,short term contract)
Section 10: Burnout and Job Satisfaction
1. Burnout Level:
- [ ] Low
- [ ] Moderate
- [ ] High
2. Causes of Burnout:
- [ ] Workload
- [ ] Work-Life Balance
- [ ] Emotional Stress
- [ ] Other: [ ]
3. Job Satisfaction Level:
- [ ] Very Satisfied
- [ ] Satisfied
- [ ] Neutral
- [ ] Dissatisfied
- [ ] Very Dissatisfied
4. Support Systems Available:
- Counseling: [ ] Yes / [ ] No
- Peer Support: [ ] Yes / [ ] No
- Other: [ ]
5. Measures Taken to Address Burnout:
-[]
Section 11: Additional Comments.
There's
A sign-up system
A sign-in system
A form submission functionality
A Data Update functionality
A landing page to be built
Data visualisation of about 8 data set per 3 demographic location with pie and bar charts
////////////////////
Global,continental and Nation Gender distribution ( 3 Pie Chart)
3 homme
2 femme
2…
…..
Par pays
Registered Nurses, registered Midwives and Advance practitioners distribution. ( 3 Pie Chart)
3 sage femme
2 infimiere 1 sage femme
2 fontionaire 2 infimiere
2 fontionaire
Par pays
Employment distribution / country, Continent and global. (Interactive Bar Chart)
700,
500,
300
Cameroon, gabon, france
Par pays
Country,Continental and global Unemployment distribution.(interactive Bar chart)
700,
500,
300
Cameroon, gabon, france
Par pays
Student level Country, Continental and Global distribution. (interactive bar chart)
700,
500,
300 2
0
0
m
a
s
t
e
Cameroon, gabon, france r
1
0
0
b
t
s
Total Number of License practitioners Country,Continental and global Distribution(Interactive world
map or Bar chart)
700,
500,
300
Cameroon, gabon, france
Par pays
Non Licensure Distribution (Bar chart)
700,
500,
300
Cameroon, gabon, france
Par pays
Burn out Distribution (Bar chart)
700,
500,
300
Cameroon, gabon, france
Juste Par pays
Monthly salary distribution.( Bar chart)
700,
500,
300
Cameroon, gabon, france
Juste Par pays