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Anti-Racism Strategy Consultation Process

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Opening Questions

Please note that the Ministerial Committee intends to publicly share what is heard through this engagement, however, no personal or identifying information will be included. The demographic questions will be used for statistical reporting and representation only, and not for other purposes.

Are you responding as:

Individual resident

An organization

A Government

A private sector organization

An educational institution

Labour

Other

Please specify.

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Please specify.

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Please specify.

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Please specify.

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Have you ever experienced racism or discrimination on a personal level?

Yes

Prefer not to answer

If yes, and you would like to share, please elaborate.

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Where are you located? E.g. Carbonear, NL

Do you identify as:

Two Spirit

Trans

Woman

Man

Non-Binary

Gender fluid

Intersex

Prefer not to answer

Other, please specify.

Do you identify as: Other, please specify.

With which background do you primarily identify? (Select all that apply)

Indigenous

Black

Asian

South Asian

Latinx, Central, or South American

White

Prefer not to answer

Other, please specify.

With which background do you primarily identify? (Select all that apply) Other, please specify.

Do you identify with a particular religion, creed, or spiritual belief?

Yes

Prefer not to answer

If yes, and you would like to share, please elaborate.

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To which age group do you belong?

Under 16

16-24

25-34

35-44

45-54

55-64

65-74

75+

Prefer not to answer

Do you have a disability?

Yes

Prefer not to answer

Are there any other parts of your identity of which you feel we should take note? If so, please provide whatever detail you are comfortable sharing.

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