ANU BIPOC Department: Racism Report Edition 4

1.Have you ever lived in a residential hall on ANU campus?(Required.)
2.How long have you lived/did you live at your residence?(Required.)
3.Which ANU residence do/did you reside at (select all you have lived in)?(Required.)
4.Have you personally experienced or witnessed any incidents of racism in an ANU residence? [Please select all that apply](Required.)
5.How long ago was the racism incident you personally experienced or witnessed?(Required.)
6.During the period of time when you were personally experiencing or witnessing the racist incident(s) in your residence, how frequently did the incident(s) occur?(Required.)
7.What forms of discrimination/racism did you personally experience or witness in your residence? [Select all that apply](Required.)
8.Who was responsible for the discrimination? [Please select all that apply](Required.)
9.Did you report the incident(s) to Residence staff (e.g. Head of Hall, CC)?(Required.)
10.If reported, how satisfied were you with the response?(Required.)
11.Please rate your level of agreement with the following statements.(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
N/A
I feel safe in my residence hall
My hall is racially and ethnically diverse
I'm comfortable speaking to resident hall support staff
There is adequate and accessible support in residence halls to handle incidents of racism and support students who are impacted
I am confident I would feel safe and supported by ANU if I were to report discrimination or racism
12.What resources or initiatives would help create a more inclusive and anti-racist environment in your residence?(Required.)
13.What is your gender?(Required.)
14.Which age bracket do you fall under?(Required.)
15.How long have you been at the ANU?(Required.)
16.What academic college does your degree/s fall under [select all that apply](Required.)
17.Do any of the following apply to you? [Please select all that apply](Required.)
18.Specify your country of origin
19.What is your religion? [select all that apply](Required.)
20.Are there any experiences that pertain to your BIPOC identity at ANU residential halls that you would like to share and would feel comfortable being anonymously included in the Racism Report?