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* 1. How old are you?

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* 2. What is your gender?

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* 3. What department do you work in?

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* 4. How many years experience do you have in your field?

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* 5. Do you identify as any of the following?

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* 6. Would you describe your current workplace as inclusive and diverse?

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* 7. Do you consider advertising & media to be equal opportunity industries?

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* 8. On a scale of 0 (not at all) to 100 (totally) how respected do you feel at work?

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i We adjusted the number you entered based on the slider’s scale.

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* 9. Do you have a mentor who supports your career development?

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* 10. Have you ever been bullied at work?

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* 11. Have you ever been sexually harassed at work?

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* 12. Have you ever been abused at work (verbally or physically)?

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* 13. Do you think you are fairly remunerated for the work you do?

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* 14. Are there any problems in your workplace that you wish you could change?

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* 15. If you would like to share any relevant experiences (good or bad), here is a safe, anonymous place to do so.

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