Human Rights Commission - Organizational Survey

To better serve the community, the HRC is seeking ideas from leaders of local organizations concerning human rights priorities in Chelsea. The results will be used to inform the public awareness and educational activities of the Commission. This survey is completely voluntary. You may skip any question that you do not wish to answer. Your answers will be confidential and any reports of the results will be summaries only.

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* 1. Thank you for taking the time to share your opinions.

Contact Name:

Company or organization:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What are the main activities or services offered by your organization in the City of Chelsea?

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* 3. Does your organization offer specific activities or services that focus on human rights and social justice issues? If yes, please describe below.

If Yes, please describe below:

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* 4. Does your organization collaborate with other organizations on activities and services that focus on human rights and social justice? If yes, please list your main partners:

If yes, please list your main partners below:

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* 5. Please list any current or planned community initiatives or activities in Chelsea that focus on human rights and social justice issues that you are aware of: (e.g. public events, art projects, days with special theme, interactive web-based activities, etc)

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* 6. In your experience as an organizational leader, what does Chelsea do well to promote and protect human rights and social justice?

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* 7. In your experience as an organizational leader, what could Chelsea improve upon to promote and protect human rights and social justice?

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* 8. In your experience as an organizational leader, have you observed discrimination or rights violations against community members or visitors to Chelsea based on the following characteristics? Please check all that apply.

Age

Color

Disability

Familial Status

Gender Expression

Gender Identity

Genetic Information

Height

Weight

Marital Status

Race

Religion

Sexual Orientation

Sex (including pregnancy)

Source of Income

National Origin

Veteran Status

Other

If you would like to share additional information about what you have observed, please do so here

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* 9. Which of the following human rights and social justice priorities do you think should be a focus of the Human Rights Commission? Please select your top 3 choices.

Intimate partner abuse

Bullying

Violence and other conflict resolution

Rights and Responsibilities

Racism

Police/Community Partnerships

Exclusion and marginalization

Sense of belonging

Identifying discrimination

Elder abuse/fraud

Community Diversity

Leadership and citizen engagement

Other (please specify)

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* 10. If your organization would like to partner with HRC on any of the issues listed in Q9, please list them:

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* 11. We are interested in getting an idea of how likely is it that your organization would use any of the following methods to communicate with the HRC. In the past six months, how often has your organization used the following methods to communicate with other groups? Please Rate the following as

	1 = Frequently	2 = Seldom	3 = Never
Community Forums	Community Forums 1 = Frequently	Community Forums 2 = Seldom	Community Forums 3 = Never
Community Events	Community Events 1 = Frequently	Community Events 2 = Seldom	Community Events 3 = Never
Focus Groups	Focus Groups 1 = Frequently	Focus Groups 2 = Seldom	Focus Groups 3 = Never
Conference Calls	Conference Calls 1 = Frequently	Conference Calls 2 = Seldom	Conference Calls 3 = Never
Listserv/email group	Listserv/email group 1 = Frequently	Listserv/email group 2 = Seldom	Listserv/email group 3 = Never
Social Media	Social Media 1 = Frequently	Social Media 2 = Seldom	Social Media 3 = Never
Webinars	Webinars 1 = Frequently	Webinars 2 = Seldom	Webinars 3 = Never

Other (please specify)