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Inclusion Profile – Reportee

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(will be known as X in this form)
Read through all the Stages (click here to view the Stages) Unless otherwise stated, all questions require an answer. If you have not seen the behaviour requested or are unsure, please select NEUTRAL in the response.

Person (X) Rating
Please select a rating for X for each question.
X is aware of their own preferences and biases(Required)
X knows and recognises their own biases(Required)
X acknowledges differences(Required)
X has a good perception of personal biases(Required)
X can reflect on their own identity and experiences(Required)
X recognises potential impact of their own values, beliefs and personal biases (which may be unconscious)(Required)
X takes personal action to ensure all are treated with respect and dignity(Required)
X applies self reflection(Required)
(introspectively examine my thoughts, emotions, experiences and behaviours with the aim of gaining insight, understanding and personal growth)
X seeks feedback(Required)
X uses mindfulness practices(Required)
X monitors decision making processes(Required)
X challenges assumptions(Required)
X creates accountability structures to mitigate influence of biases(Required)
X cultivates empathy(Required)
X regularly applies self-assessment(Required)
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Six Stages Framework Stage 2

X actively seeks out perspectives different from their own and take advice(Required)
X engages in active listening(Required)
X seeks diversity(Required)
X asks thoughtful questions(Required)
X practices empathy(Required)
X exposes themselves to contrary opinions(Required)
X is open minded(Required)
X creates a safe environment for feedback(Required)
X reflects on feedback(Required)
X actively seeks advice(Required)
X expresses gratitude(Required)
X acknowledges differences(Required)
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Six Stages Framework Stage 3

X enables everyone to contribute(Required)
X establishes psychological safety(Required)
X promotes inclusivity(Required)
X sets clear expectations(Required)
X facilitates effective communication(Required)
X encourages participation(Required)
X provides support and resources(Required)
X embraces diversity of thought(Required)
X leads by example(Required)
X addresses barriers and biases(Required)
X celebrates contributions(Required)
X applies integrity and authentic communication ensuring I'm clear and honest(Required)
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Six Stages Framework Stage 4

X adapts their own style to work effectively with others(Required)
X understands different communication styles(Required)
X actively listens(Required)
X is flexible in their approach and thinking(Required)
X is empathetic(Required)
X is adaptable(Required)
X is able to build rapport(Required)
X is clear, transparent and honest in their communication and am able to foster trust(Required)
X has positive conflict and resolution skills(Required)
X respects differences(Required)
X strives for continuous improvement(Required)
X values empathy, open-mindedness and curiosity(Required)
I am emotionally understanding and adaptable(Required)
X is curious and engage with the world in a meaningful way to foster learning(Required)
X is aware of cultural intelligence and have an understanding of people with diverse backgrounds(Required)
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Six Stages Framework Stage 5

X opens their decision making to other perspectives(Required)
X recognises their own biases(Required)
X seeks diverse input(Required)
X encourages debate and discussion(Required)
X practices active listening(Required)
X promotes inclusive decision making processes(Required)
X considers multiple options(Required)
X evaluates evidence and data(Required)
X embraces constructive feedback(Required)
X balances consensus(Required)
X can reflect and learn from their reflection(Required)
X values different perspectives, people from different backgrounds and experiences(Required)
X is courageous(Required)
X recognises barriers to inclusion(Required)
X actively challenges and sees to remove barriers(Required)
X challenges and calls out discrimination(Required)
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Six Stages Framework Stage 6

X makes success possible for all(Required)
X is committed to inclusivity(Required)
X is committed to ongoing learning and growth(Required)
X understands equality legislation and how it applies(Required)
X strives to learn more about different cultures, identities and experiences(Required)
X empowers team members(Required)
X recognises, leverages unique strengths and talents of individuals(Required)
X is an advocate for equity and justice(Required)
X speaks up against discrimination and injustice(Required)
X carries out impact assessments(Required)
X reviews policies and ensures they promote diversity and inclusion(Required)
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Your Name(Required)
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