Name * First Name Last Name Email * Survey * Please select the answer that best represents how you fee I feel safe to express my ideas, feelings, and opinions. Strongly Disagree Disagree Neutral Agree Strongly Agree There are times when I don't trust being myself. Strongly Disagree Disagree Neutral Agree Strongly Agree I can be myself with my friends. Strongly Disagree Disagree Neutral Agree Strongly Agree I can be myself with my peers. Strongly Disagree Disagree Neutral Agree Strongly Agree I can be myself with my manager. Strongly Disagree Disagree Neutral Agree Strongly Agree The leaders in my organization encourage everyone to be themselves. Strongly Disagree Disagree Neutral Agree Strongly Agree I have a role model/mentor with who I feel safe in being my authentic self. Strongly Disagree Disagree Neutral Agree Strongly Agree I feel I will be looked upon negatively if I am myself. Strongly Disagree Disagree Neutral Agree Strongly Agree I feel there will be negative consequences if I am myself. Strongly Disagree Disagree Neutral Agree Strongly Agree I want to learn how my thoughts, feelings, and actions can help me be myself in any situation. Strongly Disagree Disagree Neutral Agree Strongly Agree Please share any addtional comments on being you. Who else would you recommend take this survey? Thank you for your participation in this survey.
