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* 1. What is your understanding of “unconscious bias”?

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* 2. How often, if at all, do you believe you are the victim of unjust treatment related to biases at work?

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* 3. How often, if at all, have you experienced any of the following at work?

  Never Rarely Unsure Occasionally Frequently Always
Had others make assumptions about my race, gender, or sexual orientation
Been told that I do not act like a member of a certain identity I associate with
Had others make assumptions about my education or socioeconomic background
Had others react in discomfort to me because of who I am
Heard others say “I don’t see race”, or comments to this effect
Been excluded from important meetings, intentionally or unintentionally
Felt that my work was held to higher levels of scrutiny because of who I am

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* 4. Please identify any relevant audiences, if any, that may have made remarks or actions that caused you to feel misunderstood or excluded.
Please select all that apply.

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* 5. What steps, if any, are you aware of that your company is taking to create a more inclusive working environment? 

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* 6. What improvements would you like to see from your organization?

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* 7. How would you rate your company's Diversity, Equity, and Inclusion efforts in the following areas?

  10 (Excellent) 9 8 7 (Somewhat good) 6 5 4 (Somewhat poor) 3 2 1 (Extremely poor)
Hiring
Onboarding
Employee Retention
Internal Communications
External Communications

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* 8. Please provide your thoughts on the following statement: I am able to bring my whole self to work.

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* 9. How likely are you to recommend working at your company to a friend?

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