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Diversity, Equity, and Inclusion Survey
1.
What is your gender?
Female
Male
Non-binary
Transgender
Prefer no to say
Other (please specify)
2.
Which category below includes your age?
20-29
30-39
40-49
50-59
60-69
70-79
80 or older
prefer not to say
3.
How do you identify your race and ethnicity? (Please do include nationality, heritage and culture, if desired)
4.
Sexual Orientation (optional; choose all that apply):
asexual
bisexual
heterosexual
lesbian
pansexual
queer
prefer not to disclose
an identity not listed: please specify
5.
Which of the following categories best describes your employment status?
Outsourced IONM Company
Hospital employed IONM team
Independent Contractor
Other (please specify)
6.
My field of work contains a diverse population whose backgrounds, beliefs and experiences are different from my own.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
7.
Getting to know people with backgrounds, beliefs and experiences different from my own has been easy in my current field of work.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
8.
My current field of work provides an atmosphere for the free and open expression of ideas, opinions and beliefs.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
9.
I am aware of educational programs and/or resources that promote diversity, equity and inclusion in the workplace
.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
10.
If desired, please explain your experience regarding Diversity and Inclusion in IONM?
11.
If you are interested in participating in a more in-depth interview on your experiences in Diversity and Inclusion in IONM, please submit your name and email address.
Current Progress,
0 of 11 answered