Anti-Racism Toolkit

Phone

(###)

###

####

Date

MM

DD

YYYY

Is This Useful Content for your Organization? *

Implement change in regards to Anti-Racism (Diversity, Inclusion) Rate from 1 to 5

5 - Highest

4

3

2

1 - Lowest

Are you aware of your organizations diversity policy? *

Yes

No

Would you like to know more about the Toolkit? *

Yes

No

How comfortable are you to address these key terms? *

At your office and/or workplace

Likely

Somewhat

Unlikely