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: For each of the following statements, choose a number from the 5 point scale. Please take your time and be as honest as you can. Thank 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 YOU AS AN INDIVIDUAL:

Top of Form

 0. Confront others when they make racial/ethnic/sexually insulting comments? 0     1     2     3     4     

 1. Speak up when someone is humiliating, insulting or ridiculing another person? 0     1     2     3     4     

 2. Think about how my comments and actions may affect others before I speak or act? 0     1     2     3     4     

 3. Refuse to participate in jokes that are insulting to any group, culture, or sex? 0     1     2     3     4     

 4. Avoid repeating statements or rumours that reinforce prejudice or bias? 0     1     2     3     4     

 5. Find out the truth before repeating or believing rumours or assumptions about anyone? 0     1     2     3     4     

 6.  Avoid using words that reinforce negative stereotypes? 0     1     2     3     4     

 7. Try to meet and understand people from different cultures and groups as individuals? 0     1     2     3     4     

 8. 

Help new people in my organisation, including women and people of various cultures, ages, and sizes, to feel welcome and accepted?

0     1     2     3     4     

 9. Learn about and try to understand other cultures and groups and respect what is important to them?

0     1     2     3     4     

 10. 

Encourage people from other groups and cultures to speak up about important personal/collective issues and concerns?

0     1     2     3     4     

 11. Tell those from different cultures and groups about the written and unwritten rules of my organisation?

0     1     2     3     4     

 12. 

Follow and support organisational policies regarding equal treatment of all, including confronting those who sabotage those policies?

0     1     2     3     4     

 13.  Suggest that organisational policies and procedures that lead to the exclusion of anyone be

0     1     2     3     4     

changed?

 14. Help to create a work environment in which all employees and clients are respected and valued?

0     1     2     3     4     

 15. 

Protest in some way when a book, newspaper, television show, or person shows support for prejudice and/or stereotyping?

0     1     2     3     4     

 16. 

Refuse to join or remain a member of associations or groups that allow or support attitudes or practices that are racist, biased, or prejudiced?

0     1     2     3     4     

 17. Participate in volunteer or community activities that are designed to change things in my community or country?

0     1     2     3     4     

 18. Make extra efforts to get to know individuals whose backgrounds differ from mine? 0     1     2     3     4     

 19. Say, 'I think that's not right or fair', when I think something indicates prejudice? 0     1     2     3     4     

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/