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* 1. Contact Information

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* 2. Which UC campus do you work at?

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* 3. Do you believe improving equity and inclusion at UC is important?

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* 4. Have you experienced or witnessed the following behaviors while working at UC?

  Yes No Unsure
Sexual harassment or sexual violence.
Different treatment in one’s department or group seemingly due to being pregnant or a parent.
Different treatment in one’s department or group seemingly due to immigration status or being an international student.
Dismissive comments or jokes about concerns or inclusion of women, people of color, LGBTQ+ people, people with disabilities, international students, or other underrepresented groups.
Bullying behavior - repeated behavior that a reasonable person would find hostile and offensive.

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* 5. Do you agree or disagree with the following statements?

  Agree Disagree Unsure
UC handles reports of discrimination, sexual harassment, and/or bullying through a fair, effective, and timely process
UC takes a survivor-centered approach to cases of discrimination, sexual harassment, and/or bullying, including ensuring victims are protected from retaliation
More needs to be done to promote equity and inclusion in my department or research field

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* 6. Are you involved in program / departmental / school /college programs to improve equity and inclusion?

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* 7. What do you think could be done to improve equity and inclusion at UC?


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* 8. Get involved!

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