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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
What is your age range?
0-24
25-40
40-54
55-64
65 or older
0-24
25-40
40-54
55-64
65 or older
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4
What state do you currently reside in?
If not in the US, please select leave blank.
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5
What area do you specialize in?
e.g., finance, IT, engineering, etc.
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6
What types of workplace discrimination have you experienced?
Choose all that apply.
Grooming
Sexual assault and abuse
Unpaid wages and failure to pay final paychecks/accrued vacation time
Pandemic-specific issues, e.g., increase in harassment/discrimination against the AAPI community
Collecting biometric identifiers/information such as fingerprints without consent
Religious discrimination
Disability discrimination
Other
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7
If you have experienced any workplace discrimination, have you reported the incident and what was the outcome?
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8
Please type your questions for our panelist regarding employment discrimination or unfair workplace treatment that you have legal questions on.
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