1.Participant Name and Email Contact Information (Optional)

2.With what gender do you identify?

Female 

Male 

Transgender

Non-binary/non-conforming

Prefer not to answer 

3.What is your racial or ethnic identity? (Select all that apply.)

African-American/Black

East Asian

Hispanic/Latinx

Middle Eastern

American Indian/Alaskan Native

Pacific Islander

South Asian

Southeast Asian

White

Other (please specify)

4.What is your current level of training or career, if applicable?

Undergraduate

Medical School

Graduate School other than medical school

Resident

Fellow

Junior Faculty/Early Career

Other

Not Applicable

5.What is your practice specialty, if applicable? Please select all that apply.

Medical Oncology/Hematology

Medical Oncology only

Medical Hematology only

Radiation Oncology

Surgical Oncology

Pediatric Oncology

Gynecologic Oncology

Radiology

Pathology

Palliative care

Other, please specify

Not Applicable

6.Is there implicit bias training available to you from your institution or practice?

Yes

No

Not sure

7.Is implicit bias training required for you to complete from your institution or practice?

Yes

No

Not sure

8.Does your institution or practice assess the impact of implicit bias training?

Yes

No

Not sure

9.How important is implicit bias training to you at your institution or practice?

Extremely Important

Very Important

Moderately Important

Slightly Important

Not Important

10.What is the value of American Society of Clinical Oncology (ASCO) creating and providing its version of implicit bias training?

Extremely Valuable

Very Valuable

Moderately Valuable

Slightly Valuable

Not Valuable