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Turn the Page on Age Feedback
Thank you for taking the time to complete this form. Your feedback is essential as we work to combat ageism and provide the tools to create a more inclusive society!
Please complete this form by Monday, October 3rd.
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Full Name
*
Your answer
Email
*
Your answer
Company/Organization (optional)
Your answer
Job Title (optional)
Your answer
Have you encountered ageism?
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Yes
No
If yes, how have you encountered ageism?
Your answer
Are you hearing more about ageism as a social issue than you have in the past?
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Yes
No
If yes, what are you hearing about ageism, and where are you hearing it?
Your answer
In your opinion, d
o we have to change our mindset to build an age-integrated society and workforce in the future?
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Yes
No
If yes, how can we work to change our opinions?
Your answer
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