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Stereotype Questionnaire Please answer the following questions in the spaces provided: Sex: _________________________ Age: _________________________ Religion:

_______________________ Ethnic origin: __________________________ Occupation: ____________________________ Proportion of neighbourhood sharing your religious belief (approx):___________________________ Proportion of neighbourhood sharing your ethnic origin (approx):______________________________

Instructions: or each of the follo!ing state"ents# choose a nu"ber fro" the $ point scale% Please ta&e your ti"e and be as honest as you can% 'han& you

By completing this Attitude Awareness Questionnaire you will gain important insights into the way in which your attitudes, words and actions affect and influence others. Carefully read each question and circle the number that best reflects your current actions, beliefs and experiences. SCALE: 0 = Never; 1 = Almost never; 2 = Seldom; 3 = Usually; 4 = Almost always HOW OFTEN DO O! "# "N $ND$%$D!"&' )onfront others when they ma*e racial+ethnic+se,ually insulting comments#pea* up when someone is humiliating, insulting or ridiculing another person-

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Thin* a2out how my comments and actions may affect others 2efore $ spea* or act3efuse to participate in 4o*es that are insulting to any group, culture, or se,"5oid repeating statements or rumours that reinforce pre4udice or 2iasFind out the truth 2efore repeating or 2elie5ing rumours or assumptions a2out anyone"5oid using words that reinforce negati5e stereotypesTry to meet and understand people from different cultures and groups as indi5idualsHelp new people in my organisation, including women and people of 5arious cultures, ages, and si:es, to feel welcome and accepted&earn a2out and try to understand other cultures and groups and respect what is important to themEncourage people from other groups and cultures to spea* up a2out important personal+collecti5e issues and concernsTell those from different cultures and groups a2out the written and unwritten rules of my organisationFollow and support organisational policies regarding e<ual treatment of all, including confronting those who sa2otage those policies-

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#uggest that organisational policies and procedures that lead to the e,clusion of anyone 2e changedHelp to create a wor* en5ironment in which all employees and clients are respected and 5alued=rotest in some way when a 2oo*, newspaper, tele5ision show, or person shows support for pre4udice and+or stereotyping3efuse to 4oin or remain a mem2er of associations or groups that allow or support attitudes or practices that are racist, 2iased, or pre4udiced=articipate in 5olunteer or community acti5ities that are designed to change things in my community or country>a*e e,tra efforts to get to *now indi5iduals whose 2ac*grounds differ from mine#ay, ?$ thin* that?s not right or fair?, when $ thin* something indicates pre4udice-

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SUBMIT

Thank you for participating in this study, be assured your information will be kept completely confidential and you have the right to withdraw your data at any stage should you wish to do so
http://www.aahalearning.com/polls/discrimination/

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