Women Who Code
If you have experienced harassment and/or discrimination at a Women Who Code event, we would first like to extend our most sincere apologies. Women Who Code is committed to providing a safe and secure space at each and every event. We have developed this report and feedback form to better understand and mitigate any risk factors which are hindering our ability to do this. Sharing your experience with us will to take steps to ensure that we are providing a safe and secure space for all of our members and event participants.

**All questions on this form are optional. Please only provide the information you are comfortable sharing with Women Who Code.**

What Is Your Name?
**feel free to remain anonymous**
Your answer
Which Women Who Code Network Are You a Member of?
**feel free to remain anonymous**
Your answer
If you would like for someone from HQ to follow up with you, please provide an email or phone number.
**feel free to remain anonymous**
Your answer
Please Tell Us About Your Experience At Our Event
**please provide only the amount of detail you are comfortable with**
Your answer
What outcome would enable you to comfortably participate in future events?
Your answer
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