Here is the promised survey for the 2012 PMF class. I want to stress that I am not associated with the program, it is unlikely that anyone from the program will even ask for this, and I have no plans to reveal any information except through aggregation. It is intended to benefit future classes. Please respond as thoroughly as you are comfortable. If you have any concerns, you can email me at pmfellow AT gmail DOT com or reply in the comments.
I will keep this form open from now until around April 1, 2013, so please feel free to provide updates whenever you have them. If you are a returning visitor to the form (i.e., you've already submitted answers once), choose the Returning Visitor option and make sure to put in the same name you used initially.
The direct link to the form is here.