This is a tool to report issues you experienced during the ASA annual meeting which created an unwelcoming climate. The purpose of this tool is to reduce some of the barriers to reporting behaviors or incidents that are perceived as inappropriate so we may become the most welcoming society we can be.

Question Title

* 1. I felt:

Question Title

* 2. Why do you think you may have been targeted?

Question Title

* 3. What was the nature of the experience?

Question Title

* 4. Please describe what happened

Question Title

* 5. If you've experienced inappropriate behavior, was the person someone you think could retaliate against you and potentially have an effect on your career?

Question Title

* 6. Please name the individual

Question Title

* 7. What would you like to have happen as a result of your report?

T