Claim Ownership of You & Your Journey
Concerns, Challenges & Recommendations from Racialized and Marginalized Individuals
Hills and Valleys Nonprofit Organization is open to listening and learning from every person's unique experience and perspective. We will keep all information arising from this survey concerning individual respondents completely confidential and we will not discuss, disclose, disseminate, or provide access to survey data and identifiers.
Name
*
First Name
Last Name
If we update this survey and/or need additional information, could we contact you again?
*
Please Select
Yes
No
Contact Information - In the Event We Need to Reach Out Again
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Demographic Data
Gender
Female
Male
Other
Prefer Not to Say
Do you identify as 2SLGBTQIA - Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning, Intersex, Asexual?
Yes
No
Prefer Not to Say
Yes, 2SLGBTQIA. Check all that apply.
Two-spirit
Lesbian
Gay
Bisexual
Transgender
Queer
Questioning
Intersex
Asexual
Another Identity
Prefer Not to Say
Age
High School Youth (13-17)
Post-Secondary Attendees (18-24)
Working Young Adult (18-24)
Early Adulthood (25-34)
Early Middle Adulthood (35-44)
Late Middle Adulthood (45-54)
Early Senior Years (55-64)
Middle Senior Years (65-74)
Senior Years (75 or more)
Are you a person with a disability?
Yes, mental health challenges
Yes, physical limitations
No
Prefer Not to Say
Marital Status
Single
Married
Divorced
Widowed
Other
Prefer Not to Say
Which Racialized | Marginalized Community Group do you identify with?
Black Canadian
Black Caribbean
Black African
Indigenous Peoples (First Nations, Metis, Inuit)
Latin American / Asian / Arab / Filipino
White
Other
Status in Canada
Canadian Citizen
Permanent Resident
Temporary Resident (Study permit / Work permit / Visitor record)
Refugee Claimant
Non Status / Undocumented
Prefer not to say
Other
Education
Less than High School diploma
High school diploma
Some College or University courses
College Degree
Bachelors degree
Graduate degree
Certificate / Trade / Higher education
Outside Canada Degree / Certification
Type of Employment
Unemployed (looking for a job)
Unemployed (not looking for a job)
Self-employed
Full-time employment
Part-time employment
Student
Household Income
Poor or Near Poor (less than $32,000)
Lower Middle Class ($32,001 - $53,000)
Middle Class ($53,001 - $106,000)
Upper Middle Class ($106,000 plus)
Don't know
Other
Interests
Please Select
Business
Education
Healthcare
Web development & design
Marketing
Advertising
SEO
Social Media
Identifying the Type of Discrimination or Unfair Treatment Experienced
Indicate why you were discriminated against or experienced unfair treament by others in Canada. (mark all that apply)
Sex
Ethnicity or Culture
Physical Appearance
Religion
Race or Skin Colour
Sexual Orientation
Gender Identity or Expression
Age
Physical or Mental Disability
Language
Other
Identify situations where the discrimination may have occurred. (mark all that apply)
In Social Situations / Service Industries - Store, Restaurant
Conducting Business - Bank
Attending School or Classes
In the Work Environment
Dealing with Police, the Courts
Crossing the border into Canada
Health Care
Other
Indicate the types of discrimination and bias that you experience / have experienced. (mark all that apply)
Discrimination arising from disability (treated unfairly because of something connected to your disability rather than the disability itself)
Direct discrimination (treated unfairly because of a protected characteristic, such as sex or race)
Indirect discrimination (a policy that applies in the same way for everybody but disadvantages people who share a protected characteristic)
Harassment (any unwanted physical or verbal behaviour that offends or humiliates you)
Victimisation (treated badly because they have done or going to do a ‘protected act’)
Duty to make reasonable adjustments (eliminate disadvantage(s) caused by disability so that the disabled employee can continue to work)
Other
Please share the type of discrimination or unfair treatment you experience/have experienced.
Understanding the Concerns and Challenges Faced by Racialized and Marginalized People
How has discriminatory and bias behaviour affected you? (mark all that apply)
Withdraw from current activities
Hesitate trying new things
Approach people and situations with fear
Feel not as good as mainstream people
Change behaviour and present self how you think mainstream society wants to see you
Speak up and get involved in changing behaviours and attitudes
Other
Share your experiences with disrimination and/or bias.
Policies or Practices that Disadvantage Racialized and Marginalized People
What policies or practices do you feel put racialized and marginalized people at a disadvantage?
Authority of policymakers - to prepare, approve, publish policies, provide guidance, interpret provisions
Setting standards of policies and guidelines for how individuals, employers, service providers and policymakers should act
A lack of progressive advancement to understand, interpret and implement the true intention of the rights set out in the laws, rules and guides
Racism embedded in long-standing policies - Structural, Systemic and Institutional
Private Prejudices held by individuals or Unchanging Individual attitudes
Lack of flexibility with enforcement and compliance with laws, rules and guides
Indirect Effects - police violence harms the mental health of entire communities through constant surveillance and threats of violence
Previous attempts didn't work/were not well received
Direct Adverse consequences - police use of force kills hundreds of Black people each year and nonfatally injures many thousands more
To many interwoven, intricacies of the laws, regulations and practices sanctioned and implemented by the various level of governments and organizations
Misunderstanding of the intention behind the law, rule or guide
Share policies or practices that put you at a disadvantage.
Moving Forward | Next Steps
How can allies, those with privilege, policies and systems best support your community in addressing discrimination and bias? (mark all that apply)
Encourage policymakers, business owners and leaders of institutions to address structural elements and foundational racial hierarchies which shape their systems and operational activities.
Review, update, transform and dismantle policies and institutions that undergird racial hierarchy.
Get involved. Do not just sit on the sidelines and wait for others to bring about change, but think things through and come up with equitable and easy-to-manage solutions.
Improve data and administrative databases to include race, ethnicity and the measurement of structural racism and their harmful effects
Support efforts and create opportunities to measure, identify and document occurrences, effects and impacts of discrimination, bias and racism on individuals, racialized and marginalized communities and organizations/institutions
Inspire mainstream individuals, organizations, institutions, and communities to change their mindset and move beyond education and insight by engaging in active engagement, changing social norms, and developing policies and revising them so racism and its negative impacts can be dismantled
Establish rigorous and clear standards for publishing research, discovery journals, commentaries and editorials on racial inequities and reflections that recognize and acknowledge the harm caused by the uncritical use of racial categories that perpetuates implicit assumptions about racial differences.
Recruit, hire and promote qualified racialized and marginalized individuals to address the growing underrepresentation and inadequate pool of qualified applicants
What tools, methods or policies can support your move forward with addressing discrimination and bias?
Hills and Valleys Nonprofit Organization acknowledges that these questions are just a starting point. We will take action to address the issues that are raised.
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