Intergroup Dialogue Facilitator Questionnaire

Fields marked with an asterisk* are required.


Again, all information is voluntary, please supply as much of the following information as you feel comfortable sharing about your identity. Information is kept strictly confidential.

(example: able bodied, learning disability, etc.)
(example: poor, lower working-class, middle-class, upper-class, etc.)
(example: female, male, transgender, etc.)
(example: heterosexual, gay, lesbian, bisexual, questioning, etc.)

Please answer the following questions