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Introduction Survey-Progressive Discoveries Website
1.
Tell us a little about you:
First Name
Last Name
Email Address
Your Job Title
Your Company's Name
2.
Which best describes your role?
C-Suite
Vice President or Director
Manager
Supervisor
Individual Contributor
Other (please specify)
3.
Which best describes your primary work focus?
Culture/DEIB
Health Equity
Human Resources
Learning & Development
Operations
Organizational Effectiveness
Administrative
Other (please specify)
4.
How would you describe your company's current state pertaining to Culture & DEIB?
5.
Culturally speaking, what change would you like to see?
6.
Which of the following services or products interest you? [Check all that apply]
Culture/DEIB Organizational Strategy
Culture/DEIB Assessment, Audit or Analysis
Culture/DEIB- Design internal working groups/task forces
Culture/DEIB Discussions: Focus Group, 1:1 Listen & Learn, Round Table, etc.
Culture/DEIB Education, Training and/or curriculum
Culture/DEIB Presentation/Webinar
Culture/DEIB Live Key Note or Workshop - Event Appearance
Other (please specify)
7.
What is the best way to contact you?
Email me at:
Call me at:
Other: