1.How comfortable are you with sharing your thoughts and experiences at your workplace?

Very comfortable

Somewhat comfortable

Neutral

Somewhat uncomfortable

Very uncomfortable

2.What topics are you most interested in discussing during our break out session? Select all that apply.

Personal growth

Professional development

Mental health

Work-life balance

Diversity and inclusion

Other

3.Are you currently experiencing any challenges at your workplace? what are they?

4.Where do you need most support with the challenges you are currently facing?

5.What are some ground rules you believe are important for creating a safe and judgment-free space? Select all that apply.

Respectful listening

No interrupting

Confidentiality

Open-mindedness

No judgment

Other

6.This is a safe space, would you like to share any negative experience in the workplace and how would you like to be handled?

7.Do you have a mentorship program at your company? Do you feel supported? Do you feel that your voice is important & matters?

8.What is your age group?

18-24

25-34

35-44

45-54

55-64

65+

9.What is your gender?

Male

Female

Non-binary

Prefer not to say

10.What does a safe space look like and feel for you? How do you deal with challenges?