NOTE: THIS TEMPLATE IS NOT BUILT FOR OR INTENDED FOR DISTRIBUTION TO MINORS UNDER 16 (OR A HIGHER AGE DEPENDING ON YOUR LOCATION). Visit the Acceptable Uses Policy for more information.

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* 1. Do you believe there is gender equality among the students at your school?

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* 2. How would you describe the gender representation among the faculty and staff at your school?

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* 3. Do you think your school should make a public statement regarding the Supreme Court’s decision to overturn Roe vs. Wade?

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* 4. How much do you agree or disagree with the following statement: Supporting access to reproductive care, including abortion, demonstrates a school’s commitment to supporting and advancing women.

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* 5. Given the Supreme Court decision, are you considering doing any of the following?

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* 6. Does your school allow its students to openly protest or express their beliefs related to social issues?

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* 7. Which race or ethnicity best describes you? (Select all that apply)

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* 8. What is your age?

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* 9. Which of the following best describes your affiliation with the school?

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* 10. What is your gender identity?

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