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Academic Institution / UniversityCommunity Mental HealthConsulting OrganizationDigital Mental Health CompanyFoundation / Philanthropic OrganizationGovernmentHealth Insurer / Payer / Health PlanHealthcare Organization / Health System / HospitalLife Sciences Company (e.g., Pharmaceutical, Biotech)Non-profitPolicyPrivate Clinical PracticeOther Digital Mental Health CompanyVenture Capital / Investor & AcceleratorOther

What are your roles? Select all that apply:Individual with Lived ExperienceAnalyst/Data ScientistBenefits Coordinator/ManagerBusiness Development / Account ExecutiveClinical Care ProviderComputer Scientist / Developer / EngineerConsultantEducator (e.g., faculty, instructor)InvestorManaged Care ProfessionalMarketing / CommunicationsMedical AffairsOperations / Project ManagementOrganizational LeaderPatient Advocate or CaregiverPolicy Developer or ImplementerRegulatory OfficerResearcherStudent / TraineeOther

Do you consider yourself an early career professional?:YesNo

Years of experience in digital mental health:
<11-56-1011-1516-2021+

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Please select the Special Interests Group(s) you would be interested in joining. Select all that apply:Industry SIGHealth Equity SIGStudent and Trainee SIG

To help us better understand the breadth and diversity of our community, please consider answering the following voluntary demographic questions.

Please describe your racial/ethnic identity. Select all that apply:American Indian / Alaskan Native / First NationsAsianBlack / African AmericanHispanic / LatinoNative Hawaiian / Pacific IslanderWhitePrefer not to answerOther

What is your gender identity?:ManWomanNonbinaryAnother identity (e.g., Agender, Gender fluid, Genderqueer, Gender questioning, etc.)Prefer not to answerOther

Do you identify as transgender?:YesNo

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