Anonymous Accountability Form
I've created this accountability form to provide a safe and anonymous space for you to share your feedback, especially if I've unintentionally said or done something that might have caused discomfort or harm. I genuinely value your experiences and insights. Whether it's highlighting a microaggression I've committed, suggesting a way I can improve, or pointing out an inaccuracy, your input is essential. Your feedback remains anonymous and will be taken to heart, guiding me to enhance our interactions and my future presentations.
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Event/Session Name (Optional)
Date of Event/Incident (Optional)
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Feedback Category *
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Detailed Feedback *
Suggestions for Improvement *
Resources or References (Optional)
Would you like a response? (Optional)
If you'd like a response, even if anonymous, or would appreciate a public acknowledgment or correction, please indicate. 
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Contact Information (Optional)
If you're open to being contacted regarding your feedback (though this might compromise anonymity), please provide a means of contact. This is entirely optional.
Additional Comments (Optional)
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