Please provide the following information:

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* 1. Age:

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* 2. Gender

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* 3. Race:

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* 4. Home Zip Code:

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* 5. Work Zip Code:

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* 6. Do you identify as LGBT?

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* 7. Do you believe that the PRSA Hoosier Chapter values diversity?

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* 8. Do you believe that the PRSA Hoosier Chapter is inclusive?

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* 9. How included do you feel in the PRSA Hoosier Chapter?

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* 10. What causes you to feel included?

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* 11. Do you value seeing visibly different people attending and speaking at PRSA meetings and events?

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* 12. Do you believe that the PRSA Hoosier Chapter should invest time and energy on increasing diversity and inclusion?

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* 13. Does your organization have a diversity and inclusion effort?

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* 14. What is the focus of your organization's diversity effort, if one exists?

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* 15. Why do you believe your organization thinks diversity and inclusion are important?

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* 16. Do you have any concerns about PRSA beginning a diversity and inclusion effort?

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* 17. What suggestions do you have for us as we consider a Diversity and Inclusion initiative?

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* 18. What Diversity and Inclusion topics would you like to see at a future luncheon?

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* 19. To be involved in PRSA Hoosier Chapter's diversity initiatives, please email multicultural@prsahoosier.org.

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