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Inclusion Profile – Individual – Table 2

TABLE 2

Individual Self Rating
Please select a rating for each question.
I am aware of my own preferences and biases(Required)
I know and recognise your own biases(Required)
I acknowledge differences(Required)
I have a good perception of personal biases(Required)
I can reflect on my own identity and experiences(Required)
I recognise potential impact of my own values, beliefs and personal biases (which may be unconscious)(Required)
I take personal action to ensure all are treated with respect and dignity(Required)
I apply self reflection(Required)
(introspectively examine my thoughts, emotions, experiences and behaviours with the aim of gaining insight, understanding and personal growth)
I seek feedback(Required)
I use mindfulness practices(Required)
I monitor decision making processes(Required)
I challenge assumptions(Required)
I create accountability structures to mitigate influence of biases(Required)
I cultivate empathy(Required)
I regularly apply self-assessment(Required)
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Six Stages Framework Stage 2

I actively seek out perspectives different from my own and take advice(Required)
I engage in active listening(Required)
I seek diversity(Required)
I ask thoughtful questions(Required)
I practice empathy(Required)
I expose myself to contrary opinions(Required)
I am open minded(Required)
I create a safe environment for feedback(Required)
I reflect on feedback(Required)
I actively seek advice(Required)
I express gratitude(Required)
I acknowledge differences(Required)
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Six Stages Framework Stage 3

I enable everyone to contribute(Required)
I establish psychological safety(Required)
I promote inclusivity(Required)
I set clear expectations(Required)
I facilitate effective communication(Required)
I encourage participation(Required)
I provide support and resources(Required)
I embrace diversity of thought(Required)
I lead by example(Required)
I address barriers and biases(Required)
I celebrate contributions(Required)
I apply integrity and authentic communication ensuring I'm clear and honest(Required)
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This field is hidden when viewing the form

Six Stages Framework Stage 4

I adapt my own style to work effectively with others(Required)
I understand different communication styles(Required)
I actively listen(Required)
I'm flexible in my approach and thinking(Required)
I'm empathetic(Required)
I'm adaptable(Required)
I'm able to build rapport(Required)
I'm clear, transparent and honest in my communication and am able to foster trust(Required)
I have positive conflict and resolution skills(Required)
I respect differences(Required)
I strive for continuous improvement(Required)
I value empathy, open-mindedness and curiosity(Required)
I am emotionally understanding and adaptable(Required)
I am curious and engage with the world in a meaningful way to foster learning(Required)
I am aware of cultural intelligence and have an understanding of people with diverse backgrounds(Required)
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This field is hidden when viewing the form

Six Stages Framework Stage 5

I open my decision making to other perspectives(Required)
I recognise my own biases(Required)
I seek diverse input(Required)
I encourage debate and discussion(Required)
I practice active listening(Required)
I promote inclusive decision making processes(Required)
I consider multiple options(Required)
I evaluate evidence and data(Required)
I embrace constructive feedback(Required)
I balance consensus(Required)
I reflect and learn from my reflection(Required)
I value different perspectives, people from different backgrounds and experiences(Required)
I am courageous(Required)
I recognise barriers to inclusion(Required)
I actively challenge and see to remove barriers(Required)
I challenge and call out discrimination(Required)
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This field is hidden when viewing the form

Six Stages Framework Stage 6

I make success possible for all(Required)
I am committed to inclusivity(Required)
I'm committed to ongoing learning and growth(Required)
I understand equality legislation and how it applies(Required)
I strive to learn more about different cultures, identities and experiences(Required)
I empower team members(Required)
I recognise, leverage unique strengths and talents of individuals(Required)
I'm an advocate for equity and justice(Required)
I speak up against discrimination and injustice(Required)
I carry out impact assessments(Required)
I review policies and ensure they promote diversity and inclusion(Required)
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This field is hidden when viewing the form
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Your Name(Required)
Please provide the name and email address of a reportee to provide input into this assessment
(optional)
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