The following questions are designed to provide a general assessment of your readiness for HUMAN Centered Equity™. The "scores" are relevant in the very specific context of this work with Quiet Rebel, LLC.

The survey is divided into 4 sections:

• Childhood
• Current Friendships
• Personal Experiences
• Professional Experiences

Scores are tallied in 4 areas (W.A.R.E.):

• Willingness
• Awareness
• Racial Equity Readiness
• Equity Readiness

Throughout the survey, if you encounter a question for which none of the answers apply to you, please answer in the way that is closest to your experience. You will have an opportunity to provide feedback at the end.

We ask for your name and email address so that we may provide you with your results. We will not share your results or contact information without your consent.

If you have questions related to this survey, please contact yes@quietrebellife.com.

Please respond to the following questions as they relate to the majority of your childhood. If you moved many times in childhood, please select the time period that reflects your most positive experience.

For the purpose of the following questions, a friend is someone whom you:

• know beyond social media
• share regular, personal conversations
• have visited at home / they have visited your home

I have two or more friends who identify differently from my:

As you read each question, consider what your answer would be if the question was open-ended. Select the response that is closest to your initial thought.

In recent years, there have been several events that raised awareness of racial justice issues. For the following two examples, please share the response most close to your personal reaction.

For this section, please consider the last 12 months, or your most recent professional experience.

The following questions provide a self-assessment on your preparedness for equity work and racial equity work.

Thank you for taking the time to complete this survey. If you have additional notes you would like to share, please do so below. 

We ask for your first name and email address so that we are able to share your results with you and follow-up regarding your experience. We will not share your results publicly, except as part of an unidentified group. We will not share your contact information with any other organization without your consent.

Again, please note that the following totals are used only in this very specific context and are not an assessment of your character or ability to participate in HUMAN Centered Equity work.