Voluntary Demographic Survey for Forward (Self-Identification)
At Forward, one of our core values is to create an environment that embraces and encourages diversity, equity, inclusion, and belonging in order to provide equitable medical care for all. We would greatly appreciate your feedback, via survey, to help us understand and support our DEI&B efforts more thoroughly.
Submission of the information on this form is strictly voluntary, and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name and job application. This information will be kept secure and confidential and will be used solely to aid our DEI&B efforts.
What are your racial, ethnic, and origin identities?
Select all that apply
What gender do you most closely identify with?
Are you a person of transgender experience?
What sexual orientation do you most closely identify with?
Are you a veteran / have you served in the military?
Do you live with a disability (as outlined by the ADA)?