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* 1. Please indicate your age group

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* 2. Please indicate your gender

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* 3.  Is this the gender you were assigned to at birth?

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* 4.  How would you describe your sexual orientation?

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* 5. Are you

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* 6.  Do you consider yourself to have a disability? The Disability Discrimination Act 1995 states that a ‘person has a disability for the purpose of this Act if he/she has a physical or mental impairment which has a substantial and long term adverse effect on his/her ability to carry out normal day to day activities’

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* 7. If you have answered yes to the above question, please indicate the form of impairment that applies to you. Multiple answers allowed.

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* 8. What is your country of birth?

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* 9. Which race best describes you? Please choose only one.

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* 10. Please specify your ethnic group

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* 11. What is your religion or belief (including non-belief)?

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* 12. Is English your first language?

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* 13. What kind of a school did you attend between the ages of 11-18yrs

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* 14. Did either or both of your parents attend University?

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* 15. Do you have carer's responsibilities outside work?

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* 16. Please describe your current role?

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* 17. Please specify if you have any leadership roles

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* 18. Did you receive formal or informal mentorship when you commenced practice?

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* 19. Have you been a mentor (formal or informal) to colleagues commencing practice?

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* 20. Does your Department facilitate flexible working?
Please note: Flexible working could be job sharing, working from home, part time work, compressed hours, flexitime, annualized hours, staggered hours, phased retirement.

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* 21. Would you take up flexible working?

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* 22. If you are working flexibly, are your colleagues supportive of this?

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* 23. Were you well supported after return from maternity/parental leave?

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* 24. Were you supported after return from sick leave?

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* 25. Have you been bullied or harrassed in the workplace over the past 5 years?

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* 26. If you are LGBTQ+ do you feel that your institution is a comfortable and inclusive environment in which to come out to your colleagues

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* 27. Have you been unfairly treated due to one of the following: (multiple answers possible)

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* 28. Do you believe that you can make a formal complaint without fear or reprisal?

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* 29. Have you ever considered leaving Cardiothoracic surgery because of discrimination?

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* 30. Have you received any training on how to deal with equality and diversity issues?

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* 31. Have you had to deal with equality and diversity issue in the workplace?

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* 32. How long have you worked at your Institution?

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* 33. Instead of empowering staff, has the whole pursuit of equality and diversity led to staff feeling intimidated and wary of speaking their mind?

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* 34. Please state 3 things that would most improve your workplace or work-life balance

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* 35. Please state 3 things you would like the SCTS to do to promote equality, diversity and inclusion in the workplace

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* 36. Overall Diversity, Equality and Inclusion Culture: Please select one response for each statement.

  Strongly agree Agree Neutral Disagree Strongly disagree Prefer not to say
People of all cultures and backgrounds are respected and valued in your organisation.
Employees of different ages are valued equally by this organisation.
Racial, ethnic and gender based jokes are not tolerated
I have not experienced any unfair barriers in my career progression in my organisation.
I believe the organisation will take appropriate action in response to incidents of discrimination.
I am able to strike a work- personal life balance in my organisation.
I am very satisfied with my professional career.
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