Dialogues Conference Survey

Dialogues to RISE:

A series of annual multidisciplinary dialogues and sources of collective action focused on addressing the lack of diversity in the disciplines of audiology, hearing science, otology, and related fields (“the hearing disciplines”).

These Dialogues will focus on all groups underrepresented in the hearing disciplines, including race, socioeconomic position, and disability.

RISE stands for

1) Recognize that our lack of attention to diversity and inclusion within our professions has led to severe threats to inclusive patient care, equitable clinical outcomes, and research that is generalizable across populations.

2) Increase equitable access to and retention of underrepresented people pursuing graduate and medical degrees in the hearing disciplines, while providing a sense of belonging and community. Sessions will include discussions of ways in which access to advanced education can be expanded and assured for people from all groups currently underrepresented in the hearing disciplines.

3) Support all members of the community in becoming allies through education in appropriate mentorship, sponsorship, anti-ableism and anti-racism action.

4) Evaluate our success regularly and hold ourselves accountable to affecting real change.

The Dialogues to RISE will take place in coordination with an established meeting in the hearing disciplines, rotating among meetings each year.

This survey will help us plan the Dialogues to RISE conferences. Please let us know your interest in attending and/or contributing to such conferences and how we could organize the conference so that participation would be most convenient for you.

Thank you so much for your time. This survey should take no more than 5 minutes to complete.

Dialogues Committee Representatives
Karen Beverly-Ducker, American Speech-Language-Hearing Association
Matt Bush, University of Kentucky, College of Medicine
Laura Coco, Oregon Health and Science University, Dept. of Veterans Affairs
Sumit Dhar, Northwestern University, American Auditory Society
Judy Dubno, Medical University of South Carolina, Acoustical Society of America
Erick Gallun, Oregon Health and Science University, American Auditory Society
Hernan Goldsztein, AAO-HNS
Antony Joseph, Illinois State University, American Academy of Audiology
Ruth Litovsky, University of Wisconsin, Association for Research in Otolaryngology
Nicole Marrone, University of Arizona
Jamila Minga, Duke University
Carrie Neiman, Johns Hopkins Medicine
Peggy Nelson, University of Minnesota, Acoustical Society of America
Angela Shoup, University of Texas at Dallas, American Academy of Audiology
Jessica Sullivan, Hampton University
Heather Weinreich, University of Illinois, College of Medicine, American Auditory Society

Question Title

* 1. Rate your interest in attending a Dialogues Conference associated with each of these meetings:

	Not interested	Somewhat interested	Very interested
AAA (American Academy of Audiology)	AAA (American Academy of Audiology) Not interested	AAA (American Academy of Audiology) Somewhat interested	AAA (American Academy of Audiology) Very interested
AAO/HNS (American Academy of Otolaryngology–Head and Neck Surgery)	AAO/HNS (American Academy of Otolaryngology–Head and Neck Surgery) Not interested	AAO/HNS (American Academy of Otolaryngology–Head and Neck Surgery) Somewhat interested	AAO/HNS (American Academy of Otolaryngology–Head and Neck Surgery) Very interested
AAS (American Auditory Society)	AAS (American Auditory Society) Not interested	AAS (American Auditory Society) Somewhat interested	AAS (American Auditory Society) Very interested
ARO (Association for Research in Otolaryngology)	ARO (Association for Research in Otolaryngology) Not interested	ARO (Association for Research in Otolaryngology) Somewhat interested	ARO (Association for Research in Otolaryngology) Very interested
ASA (Acoustical Society of America)	ASA (Acoustical Society of America) Not interested	ASA (Acoustical Society of America) Somewhat interested	ASA (Acoustical Society of America) Very interested
ASHA (American Speech-Language-Hearing Association)	ASHA (American Speech-Language-Hearing Association) Not interested	ASHA (American Speech-Language-Hearing Association) Somewhat interested	ASHA (American Speech-Language-Hearing Association) Very interested

Other (please specify)

Question Title

* 2. Please rate your preference for attending a Dialogues conference associated with your organizational conference during the following times:

	Not interested	Somewhat interested	Very interested
Before the meeting (one day)	Before the meeting (one day) Not interested	Before the meeting (one day) Somewhat interested	Before the meeting (one day) Very interested
Before the meeting (two days)	Before the meeting (two days) Not interested	Before the meeting (two days) Somewhat interested	Before the meeting (two days) Very interested
During the meeting (early morning)	During the meeting (early morning) Not interested	During the meeting (early morning) Somewhat interested	During the meeting (early morning) Very interested
During the meeting (lunchtime)	During the meeting (lunchtime) Not interested	During the meeting (lunchtime) Somewhat interested	During the meeting (lunchtime) Very interested
During the meeting (evening)	During the meeting (evening) Not interested	During the meeting (evening) Somewhat interested	During the meeting (evening) Very interested
After the meeting (one day)	After the meeting (one day) Not interested	After the meeting (one day) Somewhat interested	After the meeting (one day) Very interested
After the meeting (two days)	After the meeting (two days) Not interested	After the meeting (two days) Somewhat interested	After the meeting (two days) Very interested

Other (please specify)

Question Title

* 3. We know that COVID is a large factor in choosing whether and how to attend conferences at this time. Please rate your interest in attending in person or virtually, given various COVID scenarios:

	Not interested in attending	Interested in attending in person	Interested in attending virtually
If COVID case rates are low in the US	If COVID case rates are low in the US Not interested in attending	If COVID case rates are low in the US Interested in attending in person	If COVID case rates are low in the US Interested in attending virtually
If COVID case rates are moderate in the US but travel is still allowed	If COVID case rates are moderate in the US but travel is still allowed Not interested in attending	If COVID case rates are moderate in the US but travel is still allowed Interested in attending in person	If COVID case rates are moderate in the US but travel is still allowed Interested in attending virtually
If COVID case rates are high in the US but travel is still allowed	If COVID case rates are high in the US but travel is still allowed Not interested in attending	If COVID case rates are high in the US but travel is still allowed Interested in attending in person	If COVID case rates are high in the US but travel is still allowed Interested in attending virtually

Other (please specify)

Question Title

* 4. Please rate your willingness to pay the following registration rates:

	Not interested	Somewhat interested	Very interested
$0	$0 Not interested	$0 Somewhat interested	$0 Very interested
$50	$50 Not interested	$50 Somewhat interested	$50 Very interested
$150	$150 Not interested	$150 Somewhat interested	$150 Very interested
$400	$400 Not interested	$400 Somewhat interested	$400 Very interested

Other (please specify)

Question Title

* 5. Please rate the donation amount you would be willing to make towards holding a Dialogues Conference, creating a virtual Dialogues infrastructure, and providing support for those who would not otherwise be able to attend:

	$0	$25	$100	$250	$1000	$5000
Holding a Dialogues Conference	Holding a Dialogues Conference $0	Holding a Dialogues Conference $25	Holding a Dialogues Conference $100	Holding a Dialogues Conference $250	Holding a Dialogues Conference $1000	Holding a Dialogues Conference $5000
Creating a virtual Dialogues infrastructure	Creating a virtual Dialogues infrastructure $0	Creating a virtual Dialogues infrastructure $25	Creating a virtual Dialogues infrastructure $100	Creating a virtual Dialogues infrastructure $250	Creating a virtual Dialogues infrastructure $1000	Creating a virtual Dialogues infrastructure $5000
Providing support for those who would not otherwise be able to attend	Providing support for those who would not otherwise be able to attend $0	Providing support for those who would not otherwise be able to attend $25	Providing support for those who would not otherwise be able to attend $100	Providing support for those who would not otherwise be able to attend $250	Providing support for those who would not otherwise be able to attend $1000	Providing support for those who would not otherwise be able to attend $5000

Other (please specify)

Question Title

* 6. Please indicate your interest in the following types of participation:

	Not interested	Somewhat interested	Very interested
Attend	Attend Not interested	Attend Somewhat interested	Attend Very interested
Present	Present Not interested	Present Somewhat interested	Present Very interested
Help Organize	Help Organize Not interested	Help Organize Somewhat interested	Help Organize Very interested

Question Title

* 7. If you would like to be contacted in the future about Dialogues to RISE, please enter your contact information below.

Name

City/Town

State/Province

Country

Email Address