Berlin Buzzwords 2021 demographic survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Berlin Buzzwords is committed to ensuring that it is accessible to everyone regardless of race, gender, ability, sexual orientation or age. The information you give in the demographic survey is anonymous and will be used to provide demographic statistics on the conference. These demographic statistics can help us and others see the diversity of our events, and will help us better target our resources in the future.

We recognise that some people may regard some of this information as personal and we have, therefore, included an option in most questions for ‘prefer not to say’. You also do not have to complete this survey if you would prefer not, however filling it out will help us to improve Berlin Buzzwords and aid our efforts to make it more inclusive and diverse.

All information we collect around equality and diversity will be treated confidentially in accordance with GPDR.

Are you a speaker or an attendee?

Speaker

Attendee

Clear selection

How old are you?

0 - 19

20 - 29

30 - 39

40 - 49

50 - 59

60 - 69

70 - 79

80 +

Clear selection

Which one of the following best describes your gender?

Female

Male

Non Binary

Prefer not to say

Other:

Clear selection

Do you consider yourself to be a trans person?

Yes

Prefer not to say

Clear selection

Which of the following best describes your sexual orientation?

Heterosexual/straight

Bi/bisexual

Gay/lesbian

Prefer not to say

Other:

Clear selection

If you prefer to use another term, please provide this here

Do you identify as a person of colour?

Yes

Clear selection

With which ethnic background(s) do you identify? (check all that apply)

Asian

Black

Latinx

Middle Eastern / North African

White

Prefer not to answer

Please write any other ethnic backgrounds that you identify with here

Do you consider yourself to have a disability?

Yes

Prefer not to say

Clear selection

If you answered yes to the above, please indicate the type(s) of impairment(s) that apply to you

Physical / mobility impairment

Visual impairment

Hearing impairment

Mental health condition

Learning impairment / difficulty

Long standing illness or health condition

Prefer not to say

What can the organisers do to improve the diversity and inclusion at this event?

What are some examples of how this event met, exceeded, or fell short of your diversity and inclusion expectations?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms