Inclusivity Needs Assessment Survey

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* 1. Please rank the following:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
Stigma is present in my detailing work.	Stigma is present in my detailing work. Strongly Agree	Stigma is present in my detailing work. Agree	Stigma is present in my detailing work. Disagree	Stigma is present in my detailing work. Strongly Disagree	Stigma is present in my detailing work. N/A

Please describe in detail:

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* 2. Please rank the following:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
I am comfortable addressing stigma when it arises during a detailing visit.	I am comfortable addressing stigma when it arises during a detailing visit. Strongly Agree	I am comfortable addressing stigma when it arises during a detailing visit. Agree	I am comfortable addressing stigma when it arises during a detailing visit. Disagree	I am comfortable addressing stigma when it arises during a detailing visit. Strongly Disagree	I am comfortable addressing stigma when it arises during a detailing visit. N/A

Please describe in detail:

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* 3. Please rank the following:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
I feel that I have the tools to address stigma to help create an inclusive detailing environment.	I feel that I have the tools to address stigma to help create an inclusive detailing environment. Strongly Agree	I feel that I have the tools to address stigma to help create an inclusive detailing environment. Agree	I feel that I have the tools to address stigma to help create an inclusive detailing environment. Disagree	I feel that I have the tools to address stigma to help create an inclusive detailing environment. Strongly Disagree	I feel that I have the tools to address stigma to help create an inclusive detailing environment. N/A

Please describe in detail:

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* 4. List 1-2 tools or resources that would be helpful for you in order to address stigma and build an inclusive detailing program?

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* 5. Any other thoughts related to observing or experiencing stigma in your detailing work that you'd like to share?

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* 6. Please include your name if you'd be willing to present on a future roundtable or be featured on a blog related to inclusivity: