Survey to Diagnose Barriers to Accessing Remote Work for BIPOC Professionals
[Your responses will remain confidential and only used in aggregate for analysis purposes]
Geographic Location
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
How do you identify? Select all that may apply
*
Black or African American
White
Native American
Indigenous
Asian
Pacific Islander
Person of Color
Latinx
Multiracial
Prefer not to disclose
How do you identify yourself? Select all that may apply
*
Woman
Man
Trans
Non-binary
Other
Prefer not to disclose
Select your age bracket
*
18-24 years old
25-39 years old
40-59 years old
60+ years old
Prefer not to disclose
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Work Experience
Are you currently employed?
Yes, I'm employed with an organization
Yes, I'm self-employed
No, I'm currently seeking employment
No, I'm not seeking employment
No, I'm a student
What seniority level are you employed or seeking employment?
Entry Level
Individual Contributor
Team Manager
Senior Leader (Director, VP, SVP)
Executive Committee (Founder, CEO, CFO, President)
Consultant / Freelance
In what function are you currently employed or seeking employment?
Administrative
Customer Support / Service
Education
Finance / Accounting
Human Resources / People Operations
Operations / IT
Product / Engineering
Sales / Marketing
Are you interested in remote work or working from home?
Yes, I’m interested in a work from home role
No
How much remote work experience do you have?
None
Only during this COVID-19 pandemic
less than 1 year experience
1 - 3 years experience
3 - 10 years experience
10+ years experience
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Opportunities
Where do you typically find employment opportunities (select up to 3)?
Job Boards - General (e.g. Indeed, Monster)
Job Boards - Remote-Specific (e.g. We Work Remotely, Remotive, FlexJobs)
Referrals from Friends, Family, or Colleagues
College / University / School Job Boards
Career Fairs
Community Job Boards
Social Media - Professional (LinkedIn)
Social Media - Other (Facebook, Craigslist, etc.)
Are you satisfied with the availability of remote work opportunities?
Yes, I believe remote opportunities are plentiful and easy to find
No, I believe there are not enough remote work opportunities
Have you applied for remote roles previously?
Yes, I have applied for remote roles
No, but I intend to apply for remote roles
No
How often do you research the diversity of a company before you apply?
Every time
Most of the time
Some of the time
Never
How often does the racial diversity of a company impact your decision to apply?
Every time
Most of the time
Some of the time
Never
Have you been interviewed for remote roles previously?
Yes
No
Describe your remote interview experiences in three words:
word one
word two
word three
Which of the following situations have you encountered when applying for remote positions? (Check all that apply)
Not receiving a response at all
Not reaching the interview phase
Not receiving an offer
Receiving an offer with subpar details (e.g. below industry-standard salary)
On a scale of 1-5, how would you rate the fairness of the hiring process for remote positions?
1
2
3
4
5
Very Unfair
Very Fair
1 is Very Unfair, 5 is Very Fair
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Infrastructure
Do you have access to a computer or laptop for your dedicated use in your home?
Yes
No
Does your employer provide a laptop computer for your work?
Yes
No
Not Applicable
Do you have reliable, high-speed internet in your home?
Yes
No
Do you have a dedicated space in your home you could use for work?
Yes, I have a dedicated space that is free from distractions while working from home
Yes, I have space but it’s not ideal for working from home everyday
No
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Capabilities
Do you have experience with any of these software tools? (Check all that apply)
Video Conferencing (e.g. Skype, Webex, Zoom, other)
Collaboration (e.g. Google Docs, Microsoft Teams, other)
Project Management (e.g. Asana, Trello, ClickUp)
Asynchronous Communication (e.g. Slack)
On a scale of 1-5, how would you rate your competency in the following skills needed to successfully work remotely (1 = Not Skilled, 5 = Very Skilled)?
1
2
3
4
5
Virtual Communication
Autonomy
Time Management
Virtual Collaboration
Have you read any articles, blogs, guidebooks about remote work skills or how to effectively work from home?
No
Some
A lot
Have you ever received training on remote work skills or how to effectively work from home?
No
Some
A lot
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Any other thoughts you would like to share:
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