Facing Race: My Unfiltered Experience
This survey will be used to guide our conversation for Facing Race: My Unfiltered Experience, held on Wednesday, February 24th from 3:30-5pm via Zoom
If you would like to view this event please visit:
https://www.facebook.com/CISofMichigan
Please complete each question to the best of your ability and write "N/A" if you have no answer or the question does not apply to you. Thank you!
* Required
Email address
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Your email
First Name
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Your answer
Last Name
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Your answer
Grade
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8
9
10
11
12
What District/Region is your school in?
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Choose
Dearborn
Ypsilanti
Pontiac
Detroit
Battle Creek
Central Lake
Detroit - NHA
East Jordan
Ellsworth
Kalkaska
Lansing
Mancelona
Waverly
What school do you attend?
*
Choose
Salina Intermediate
Edsel Ford HS
Unis MS
O.L. Smith MS
Lowrey
Bryant MS
Ypsilanti Community Schools
Pontiac HS
East English Village Prep
Detroit Premier
Regent Park
Southeastern HS
Boys & Girls Club of Lansing
Battle Creek Central
W. K. Kellogg Prep
Springfield MS
BC Stem Innovation Center
Northwestern MS
Fremont International
Dudley Stem
How strongly do you agree or disagree with the following statement: Events from the past year have affected me (Protests, election, etc.). With 1 representing Strongly Disagree and 5 representing Strongly Agree.
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Strongly Disagree
1
2
3
4
5
Strongly Agree
What events have personally affected you and/or your loved ones (friends, family, teachers, etc.)? Write "N/A" if you have no answer or the question does not apply to you.
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Your answer
How strongly do you agree or disagree with the following statement: I have experienced racism and/or microaggressions at school. With 1 representing Strongly Disagree and 5 representing Strongly Agree
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Strongly Disagree
1
2
3
4
5
Strongly Agree
What have been some of your experiences? Write "N/A" if you have no answer or the question does not apply to you.
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Your answer
What have been some of the conversations you've had with others regarding racism? and with whom? Write "N/A" if you have no answer or the question does not apply to you.
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Your answer
Are you comfortable having your answers shared anonymously (removing any identifying information) with others?
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Yes
No
Would you like to participate in an honest conversation about your experiences on February 24th?
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Yes
No
Comments, Concerns, and Questions?
Your answer
Submit
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