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Workplace Equity Survey
Thank you for sharing your thoughts. Your responses are confidential.
12
Questions
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1
How are you feeling today?
Slide the face from left to right to describe your current mood.
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2
Please share your cultural identity
This is intentionally open-ended so that you may describe yourself as you wish.
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3
1. Organization Name
Although we are not collecting names or email addresses, having an organization name will help us better track the data.
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4
2. I am in a role which honors my gifts.
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This field is required.
Yes, completely
Yes, mostly
Somewhat
Not really
Not at all
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5
3. I feel respected by my coworkers.
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Yes, completely
Yes, mostly
Somewhat
Not really
Not at all
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6
4. I feel respected by my supervisor(s).
*
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Yes, completely
Yes, mostly
Somewhat
Not really
Not at all
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7
5. I am able to express authentic emotions at work.
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Yes, completely
Yes, mostly
Somewhat
Not really
Not at all
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8
6. I am able to be myself at work.
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Yes, completely
Yes, mostly
Somewhat
Not really
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9
7. I believe my voice makes a difference in decision making.
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Yes, always
Yes, mostly
Somewhat
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10
8. I am able to verbally disagree in a staff meeting.
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Yes, always
Yes, mostly
Somewhat
Not really
Not at all
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11
9. Our organization actively honors the lived experience of the people we serve.
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Yes, always
Yes, mostly
Somewhat
Not really
Not at all
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12
10. Our organization understands the needs of the people we serve .
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Yes, completely
Yes, mostly
Somewhat
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