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Break The Boxes Survey Questions
This survey aims to understand the quality of living for people of color in job/school/family environments that affect overall physical and mental well being. It should take 5 - 8 minutes to complete. Thank you for your time and please feel free to share as much as you are comfortable with.
What age group do you identify with?
City, State, Country of residence
Prefer not to say
Which industry do you work in/intend to work in?
Media and Entertainment
Do you feel like the work you do has a meaningful impact on the world?
Yes, I love my job!
Maybe, I'm just not clear on how yet
Not yet, but it will one day!
I don't really know, but I'd like it to!
Meaningful is subjective, I don't really care as long as I'm getting $
How often do you experience stress on your job and/or in school?
All the time
The following questions address coping strategies for dealing with stress and anxiety
What do you do to cope with stress?
Do you feel like you have access to knowledge about healthy holistic ways to decrease your stress-levels?
Do you feel like you are consistent in your practice of incorporating the knowledge you have about wellness into your everyday life?
Yes, I'm almost always consistent
Im generally consistent but I definitely could be more intentional
I try every now and then
I could do better
It's not a priority
Where do you usually go to workout?
How far do you travel from home to workout?
How much do you usually spend to workout per trip?
What modes of transportation do you normally use to exercise?
How much do you generally spend on activities that increase your wellness per month?
Team and Workplace Dynamics
These questions address how you interact on a daily basis
Does your job require you to work on a team?
No, thank goodness!
No, but I wish it did!
How many times have you encountered discrimination or bias in your workplace based on your race?
I can't remember
Do you feel comfortable enough in your work-place to bring your authentic self to the space?
I'm not sure
Do you feel like understanding the strengths/weaknesses of your teammates would impact the quality of your job experience?
Is having open and honest dialogue about racial bias at your workplace important to you?
Have you participated in any arts education programs before? If so, which program?
Any extra comments?
Send me a copy of my responses.
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