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Impact of Racism Employee Check-in
1.
How concerned are you about the impact of racism, anti-blackness, and/or xenophobia on
you personally?
Extremely concerned
Very concerned
Somewhat concerned
Not so concerned
Not at all concerned
2.
How concerned are you about the impact of racism, anti-blackness, and/or xenophobia on
our organization?
Extremely concerned
Very concerned
Somewhat concerned
Not so concerned
Not at all concerned
3.
How easy or difficult is it for you to work effectively these days?
Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Very difficult
4.
What are the TOP THREE biggest challenges you are currently facing as it relates to racial injustice and/or racism?
Microaggressions from members of my team
The economic impacts of bias in the workplace (e.g. pay inequity, job security)
My psychological safety inside of work
My colleagues don't know enough to effectively engage in discussions about racial injustice
I don't know enough to effectively engage in discussions about racial injustice
My physical safety outside of work
My physical safety inside of work
My psychological safety outside of work
I do not face any racial injustice or racism challenges
Other (please specify)
5.
Have you had conversations about race or racism at work?
Yes
No