1. What year did you receive your award?2006 2007 2008 2009 2. Please indicate your country of residence: AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic People's Republic of KoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia (Federated States of)MonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of KoreaRepublic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanThailandTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited Republic of TanzaniaUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaViet NamYemenYugoslaviaZambiaZimbabwe3. Please indicate your gender:Male Female 4. Are you currently a member of ATS?Yes No If not a Member, please indicate reason:Membership costs Meeting costs Time Other (please specify) If you selected other, please specify:5. If you remain a member, do you attend Assembly meetings?Yes No 6. If you remain a member, are you on an ATS committee?Yes No If yes, what ATS committee?7. Did your ITTA abstract lead to a publication?Yes No If yes, please provide the citation:8. How important was the ITTA for the development of your career?Very Important Somewhat Important Important Not Very Important Not Important At All 9. Did the ITTA lead to further or longer term professional contacts or collaborations?Yes No If yes, please elaborate below:10. What is your current employment?Trainee Private Practice Research Teaching Clinical Practice at public hospital or university Other (please specify) If you selected other, please specify:11. Please indicate if you are a member of any other societies:European Respiratory Society (ERS) Latin-American Thoracic Society (ALAT) Asian Pacific Society of Respirology (APSR) Pan African Thoracic Society (PATS) Local National Society Other (please specify) If you selected other, please specify: