D.__Board of Examiners on Speech Pathology and Audiology;

E.__Maine Board of Pharmacy;

F.__State Board of Nursing;

G.__Board of Licensure in Medicine;

H.__Board of Osteopathic Licensure;

I.__Board of Examiners in Physical Therapy;

J.__Board of Respiratory Care Practitioners;

K.__Board of Licensing of Dietetic Practice;

L.__State Board of Social Worker Licensure;

M.__Board of Dental Examiners;

N.__State Board of Alcohol and Drug Counselors; and

O.__State Board of Examiners of Psychologists.

2.__Information requested on survey.__The voluntary surveys issued pursuant to subsection 1 must request the following information from persons seeking renewal of their licenses, registrations and certifications:

A.__Home zip code;

B.__Business zip code;

C.__Birth year;

D.__Gender;

E.__Race;

F.__Current employment status: employed in a health care field, employed in another field, seeking health care employment, temporarily not working and not seeking work, retired or not intending to return to work, or some specified other status;