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* 1. Are you a Member of an equity seeking group? If so, which group? (optional)

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* 2. Have you ever experienced anything that made you uncomfortable at the worksite or from interacting with a coworker? 

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* 3. What changes would you like to see?

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* 4. How can we become more inclusive and diverse?

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* 5. Any other feedback relating to the objectives of the Committee will be greatly appreciated.

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* 6. Are you permanent or temporary staff?

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* 7. Do you identify as:

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* 8. Would you like the Committee members to respond to you? If yes, please enter your personal email address.

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