Bias Self-Assessment Form
Reflect on your personal biases with this self-assessment. Please answer each item honestly to gain insight into your own perspectives. All responses are anonymous.
How aware are you of your own potential biases?
*
1
2
3
4
5
I actively seek out perspectives that differ from my own.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I recognize when my judgments may be influenced by stereotypes.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
I reflect on my decisions to check for possible bias.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How often do you challenge your own assumptions?
*
1
2
3
4
5
Please indicate how much you agree with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am open to feedback about my biases.
1
2
3
4
5
I understand the impact of bias on decision-making.
6
7
8
9
10
I am willing to change my views when presented with new evidence.
11
12
13
14
15
I have participated in training or education about bias.
*
Never
1
2
3
4
Frequently
5
1 is Never, 5 is Frequently
How comfortable are you discussing bias with others?
*
1
2
3
4
5
Please share any strategies you use to minimize personal bias (optional).
How would you rate your overall self-awareness regarding bias?
*
1
2
3
4
5
Submit Assessment
Should be Empty: