CSA DEAB Survey

First Name *

Last Name *

Organizational Affiliation (if applicable)

State/Province

What DEAB-related successes have you experienced in CSA? (optional)

What DEAB-related ideas do you have for CSA? (optional)

What DEAB-related issues would you like CSA to act upon? (optional)

Would you like someone to follow up with you about your survey responses? *

Yes
No

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