1-Age in Years:	….
2-Nationality:	Saudi Non Saudi
3-What is your gender?	F M
4-Current Qualification:	FM Consultant FM Specialist FM resident PHC Physician (has no post graduate degree in Family Medicine)
5-If you are FM Resident, please select your level:	R1 R2 R3 R4
6-From your surroundings, did any one participate in Volunteer work? If yes, who?	Yes No I don’t know Family member Friend Neighbor
7-Have you ever been participated in volunteer work?	Yes No
8-What types of volunteer work do you prefer?	Health and Scientific events الفعاليات العلمية Community services الخدمات المجتمعية Multi-Media الأنشطة والمنتجات الإعلامية Social Events الفعاليات الإجتماعية Entertainment & Sports الترفيه والرياضة
9-In your opinion, what are the benefits you will get from volunteer work?	Earn the pleasure of Allah with help of others Help for families and individuals whose needs are often ignored and forgotten. Make new friends Build confidence Learn new skills that could enhance your career. Be an active member of the community.
10-Do you have a barrier?	Yes No
11-If there is barrier what is it?	Lack of time Lack of interest Malpractice Concerns Financial cost Unaware of opportunities Language Barrier Expectation of disorganization at site. Other-----------
In your opinion, How important or accurate are each of the below possible reasons for undertaking the volunteer work (ranged from strongly agree = 1 to strongly disagree = 7)	1 Strongly Disagree	2 Disagree	3 Disagree a little	4 Neither Disagree or agree	5 Agree a little	6 Agree	7 Strongly Agree
1-Volunteering can help me to get my foot in the door at a place where I would like to work?
2-I am CONCERNED about those less fortunate than myself.
3-People I’m close to, want me to volunteer.
4-Volunteering makes me feel important.
5-People I know, share an interest in community service.
6-No matter how bad I’ve been feeling, volunteering helps me to forget about it.
7-I am genuinely concerned about the particular group I am serving.
8-By volunteering I feel less lonely.
9-I can make new contacts that might help my business or career.
10-Doing volunteer work relieves me of some of the guilt over being more fortunate than others.
11-I can learn more about the cause for which I am working.
12-Volunteering increases my self-esteem.
13-Volunteering allows me to gain a new perspective on things.
14-Volunteering allows me to explore different career options.
15-I feel compassion toward people in need.
16-Others with whom I am close, place a high value on community service.
17-Volunteering lets me learn things through direct, hands on Experience.
18-I feel it is important to help others.
19-Volunteering helps me work through my own personal problems.
20-Volunteering will help me to succeed in my chosen profession.
21-I can do something for a cause that is important to me.
22-Volunteering is an important activity to the people I know best.
23-Volunteering is a good escape from my own troubles.
24-I can learn how to deal with a variety of people.
25-Volunteering makes me feel needed.
26-Volunteering makes me feel better about myself.
27-Volunteering experience will look good on my resume.
28-Volunteering is a way to make new friends.
29-I can explore my own strengths.
30-My friends volunteer.