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Please answer these questions as honestly and completely as possible. All responses are anonymous.

The Orange County Rape Crisis Center (OCRCC) staff is a team of dedicated advocates who wish to enhance their services to all members of the community by taking an intentional approach toward equity, inclusiveness, anti-oppression, and anti-racism. The racial equity consultant, Chimi Boyd-Keyes (more info at http://www.chimi.biz) is facilitating ways to give the Black survivors of sexual violence an opportunity to give feedback on how OCRCC addresses racial equity. The staff welcomes you to share your thoughts and insights! For more information, contact Chimi directly at cbkenterprises@gmail.com

*For our purposes: INTERSECTIONALITY is defined as "the complex, cumulative way in which the effects of multiple forms of discrimination (such as racism, sexism, and classism) combine, overlap, or intersect especially in the experiences of marginalized individuals or groups."

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* 1. What is your classification? Check all that apply.

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* 2. What is your race/ethnicity? Check all that apply

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* 3. What is your gender identity? Check all that apply

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* 4. What is your sexual orientation? Check all that apply.

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* 5. Please rank the following areas based on the following scale: Strongly Agree, Agree, Neither Agree or Disagree, Disagree, Strongly Disagree, Don't Know

  Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree Don't Know
The OCRCC staff reflects the diversity and culture of our extended community.
The OCRCC staff regularly centers racial equity in programming and outreach.
The OCRCC staff seeks input and assistance on decision-making from Black communities.
The OCRCC staff regularly centers intersectionality* in their discussions.
As an organization, OCRCC is committed to racial equity.
As an organization, OCRCC is responsive to the specific needs of Black communities.

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* 6. Have you ever sought out services from OCRCC? Check all that apply.

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* 7. If you have never received services from OCRCC, why not? Choose all that apply.

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* 8. If you reached out to someone about what happened to you, who did you reach out to? Check all that apply.

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* 9. Please talk about your experiences of inclusion (or lack of inclusion) with OCRCC. Please share as much as you want:

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* 10. If you were to improve anything about OCRCC as it relates to services for the Black community it would be:

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* 11. What other ideas do you have about the organization that you want to share?

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