Feeling Safe This 5 minute anonymous survey (fourteen questions) is conducted by the Autistic Collaboration Trust and is sponsored by S23M. Many thanks for your participation! For the last few years AutCollab.org has been active in investigating the cultural and psychological safety of workplaces from an intersectional perspective, including an explicit focus on neurodivergence. We are now taking a step further, with a research project on intersectional cultural and psychological safety across all aspects in their lives. This related article provides further context. The results of this research will be published via AutCollab.org and will inform the education services we provide to healthcare professionals. Question Title * 1. In what country do you live? Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte D'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Vietnam Yemen Zambia Zimbabwe Question Title * 2. Are you afraid to be your authentic selfEffects of fear: unhappiness, social frictionIndicators of a lack of fear: feeling safe, trustworthy and reliable relationships Never Sometimes Often Always N/A Within your family? Within your family? Never Within your family? Sometimes Within your family? Often Within your family? Always Within your family? N/A With your life partner? With your life partner? Never With your life partner? Sometimes With your life partner? Often With your life partner? Always With your life partner? N/A Amongst your friends? Amongst your friends? Never Amongst your friends? Sometimes Amongst your friends? Often Amongst your friends? Always Amongst your friends? N/A At work? At work? Never At work? Sometimes At work? Often At work? Always At work? N/A Question Title * 3. Are you afraid of making mistakes and sharing lessons Never Sometimes Often Always N/A Within your family? Within your family? Never Within your family? Sometimes Within your family? Often Within your family? Always Within your family? N/A With your life partner? With your life partner? Never With your life partner? Sometimes With your life partner? Often With your life partner? Always With your life partner? N/A Amongst your friends? Amongst your friends? Never Amongst your friends? Sometimes Amongst your friends? Often Amongst your friends? Always Amongst your friends? N/A At work? At work? Never At work? Sometimes At work? Often At work? Always At work? N/A Question Title * 4. Are you afraid of raising problems Never Sometimes Often Always N/A Within your family? Within your family? Never Within your family? Sometimes Within your family? Often Within your family? Always Within your family? N/A With your life partner? With your life partner? Never With your life partner? Sometimes With your life partner? Often With your life partner? Always With your life partner? N/A Amongst your friends? Amongst your friends? Never Amongst your friends? Sometimes Amongst your friends? Often Amongst your friends? Always Amongst your friends? N/A At work? At work? Never At work? Sometimes At work? Often At work? Always At work? N/A Question Title * 5. Are you afraid of asking questions Never Sometimes Often Always N/A Within your family? Within your family? Never Within your family? Sometimes Within your family? Often Within your family? Always Within your family? N/A With your life partner? With your life partner? Never With your life partner? Sometimes With your life partner? Often With your life partner? Always With your life partner? N/A Amongst your friends? Amongst your friends? Never Amongst your friends? Sometimes Amongst your friends? Often Amongst your friends? Always Amongst your friends? N/A At work? At work? Never At work? Sometimes At work? Often At work? Always At work? N/A Question Title * 6. Are you afraid to disagree Never Sometimes Often Always N/A Within your family? Within your family? Never Within your family? Sometimes Within your family? Often Within your family? Always Within your family? N/A With your life partner? With your life partner? Never With your life partner? Sometimes With your life partner? Often With your life partner? Always With your life partner? N/A With your friends? With your friends? Never With your friends? Sometimes With your friends? Often With your friends? Always With your friends? N/A With your employer and colleagues? With your employer and colleagues? Never With your employer and colleagues? Sometimes With your employer and colleagues? Often With your employer and colleagues? Always With your employer and colleagues? N/A Question Title * 7. Negative feelings. How often do you feel ... Never Sometimes Often Always N/A Unsafe? Unsafe? Never Unsafe? Sometimes Unsafe? Often Unsafe? Always Unsafe? N/A Overwhelmed? Overwhelmed? Never Overwhelmed? Sometimes Overwhelmed? Often Overwhelmed? Always Overwhelmed? N/A Insecure? Insecure? Never Insecure? Sometimes Insecure? Often Insecure? Always Insecure? N/A Misunderstood? Misunderstood? Never Misunderstood? Sometimes Misunderstood? Often Misunderstood? Always Misunderstood? N/A Disrespected / invalidated? Disrespected / invalidated? Never Disrespected / invalidated? Sometimes Disrespected / invalidated? Often Disrespected / invalidated? Always Disrespected / invalidated? N/A Bullied / coerced / manipulated / abused? Bullied / coerced / manipulated / abused? Never Bullied / coerced / manipulated / abused? Sometimes Bullied / coerced / manipulated / abused? Often Bullied / coerced / manipulated / abused? Always Bullied / coerced / manipulated / abused? N/A Betrayed? Betrayed? Never Betrayed? Sometimes Betrayed? Often Betrayed? Always Betrayed? N/A Abandoned? Abandoned? Never Abandoned? Sometimes Abandoned? Often Abandoned? Always Abandoned? N/A Question Title * 8. Learned coping strategies and trauma responses. How often ... Never Sometimes Often Always N/A Do you ask for clarification? Do you ask for clarification? Never Do you ask for clarification? Sometimes Do you ask for clarification? Often Do you ask for clarification? Always Do you ask for clarification? N/A Do you distrust family, partner, friends? Do you distrust family, partner, friends? Never Do you distrust family, partner, friends? Sometimes Do you distrust family, partner, friends? Often Do you distrust family, partner, friends? Always Do you distrust family, partner, friends? N/A Are you angry? Are you angry? Never Are you angry? Sometimes Are you angry? Often Are you angry? Always Are you angry? N/A Are you unable to speak? Are you unable to speak? Never Are you unable to speak? Sometimes Are you unable to speak? Often Are you unable to speak? Always Are you unable to speak? N/A Do you detach emotionally to cope with pain? Do you detach emotionally to cope with pain? Never Do you detach emotionally to cope with pain? Sometimes Do you detach emotionally to cope with pain? Often Do you detach emotionally to cope with pain? Always Do you detach emotionally to cope with pain? N/A Do you have meltdowns? Do you have meltdowns? Never Do you have meltdowns? Sometimes Do you have meltdowns? Often Do you have meltdowns? Always Do you have meltdowns? N/A Do you have shutdowns? Do you have shutdowns? Never Do you have shutdowns? Sometimes Do you have shutdowns? Often Do you have shutdowns? Always Do you have shutdowns? N/A Question Title * 9. Symptoms of trauma and chronic stress. How often do you ... Never Sometimes Often Always N/A Experience anxiety? Experience anxiety? Never Experience anxiety? Sometimes Experience anxiety? Often Experience anxiety? Always Experience anxiety? N/A Experience insomnia? Experience insomnia? Never Experience insomnia? Sometimes Experience insomnia? Often Experience insomnia? Always Experience insomnia? N/A Feel depressed? Feel depressed? Never Feel depressed? Sometimes Feel depressed? Often Feel depressed? Always Feel depressed? N/A Suffer from stress related health problems? Suffer from stress related health problems? Never Suffer from stress related health problems? Sometimes Suffer from stress related health problems? Often Suffer from stress related health problems? Always Suffer from stress related health problems? N/A Suffer from burnout? Suffer from burnout? Never Suffer from burnout? Sometimes Suffer from burnout? Often Suffer from burnout? Always Suffer from burnout? N/A Question Title * 10. The biggest fears you experience are mostly due to ... One or both of your parents Your siblings Your children Your life partner Your friends Your work environment Being disrespected by health pros Unmet healthcare needs Question Title * 11. Social categories you identify with Neurodivergent Autistic LGBTQIA+ Disabled Indigenous (Māori, Aboriginal, Torres Strait Islander, First Nations, etc.) Non-white / non-European origin Member of a marginalised culture (ethnicity and/or religion) None of the above apply Question Title * 12. Please assess the inclusiveness of your social environment outside work It is safe to openly identify as LGBTQIA+ You identify as LGBTQIA+ but not openly You openly identify as LGBTQIA+ You are aware of others who openly identify as LGBTQIA+ It is safe to openly identify as neurodivergent You identify as neurodivergent but not openly You openly identify as neurodivergent You are aware of others who openly identify as neurodivergent It is safe to openly identify as indigenous or as a member of an ethnic minority None of the above apply Question Title * 13. What are the most important things you wish healthcare professionals to know, respect, and do, when engaging with you? Question Title * 14. Have you had any traumatising experiences in healthcare settings that no one should ever experience? Please outline. Done
