Gender Bias Self-Assessment Form
Reflect on your attitudes, perceptions, and behaviors related to gender bias. Your responses are confidential and intended for personal awareness.
Full Name
First Name
Last Name
Age
Gender Identity
Female
Male
Non-binary
Prefer not to say
Other
How often do you notice gender stereotypes in your daily environment?
*
Very often
Often
Sometimes
Rarely
Never
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I believe men and women should have equal opportunities in the workplace.
1
2
3
4
5
I am aware of my own unconscious biases.
6
7
8
9
10
I actively challenge gender-based stereotypes when I encounter them.
11
12
13
14
15
I feel comfortable working with people of all gender identities.
16
17
18
19
20
I have witnessed gender bias in my workplace or community.
21
22
23
24
25
Have you ever participated in any gender bias or diversity training?
*
Yes
No
In your opinion, how prevalent is gender bias in your country or community?
*
Extremely prevalent
Somewhat prevalent
Not very prevalent
Not at all prevalent
Have you ever felt personally affected by gender bias?
*
Yes
No
Not sure
How confident are you in recognizing gender bias when it occurs?
*
1
2
3
4
5
What steps do you think can be taken to reduce gender bias in your environment?
Additional comments or reflections on gender bias:
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