The City of Milpitas's new Convention on the Elimination of All Forms of Discrimination Violence Against Women (CEDAW) Task Force is seeking input from Milpitas residents who identify as women or girls to ensure gender equity. We seek to reduce economic and workplace discrimination; health care inequities; and violence against women and girls in Milpitas. Your feedback will help us identify policies and services needed for the women and girls of Milpitas. There are just eight required questions. The remainder of the demographic questions at the end are optional, but your response allows us to better target services. Your responses are confidential and will not be shared. At the end of the survey, you will have an option to continue to a second page to request City staff contact you.  

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* 1. What is your gender identity?

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* 2. Have you or someone you know faced gender-based discrimination or violence in Milpitas?

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* 3. In what areas have you or someone you know experience gender-based discrimination or violence in Milpitas?

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* 4. Do you know where to find help for gender-based discrimination or violence in the following areas:

  Yes No Unsure/Not Applicable
Housing
Education and Training
Employment/ Workplace Harassment
Healthcare
Domestic Violence
Other Type of Discrimination or Violence Against Women

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* 5. How much do you agree with the statements:

  Always Usually Sometimes Rarely Never Unsure
The City, agencies, organizations, and businesses in Milpitas support women and girls.
Milpitas feels like a safe place for women and girls.
Milpitas has good job opportunities for women and girls.
I believe the City, agencies, organizations and businesses in Milpitas follow up appropriately when they receive complaints about discrimination and/or violence against women and girls.
I believe, as a whole, the community of Milpitas respects women and girls.

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* 6. How would you rank the importance of these areas the Milpitas CEDAW Task Force could choose to work on?

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* 7. What other areas would you like to see the CEDAW Task Force consider in order best to help women and girls in Milpitas?

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* 8. Please help us understand your relationship to the City of Milpitas.

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* 9. What is your age?

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* 10. What is your relationship status?

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* 11. What is your ethnic background?

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* 12. What language do you feel most comfortable using to communicate?

  English Spanish Chinese Vietnamese Other
Listening/Speaking
Reading/Writing

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* 13. What is your highest level of education completed?

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* 14. What describes your employment status?

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* 15. What industry do you (or did you, or do you hope to) work in?

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* 16. What is your annual household income?

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* 17. What describes your housing situation?

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* 18. How many adults 18 and over live in your household?

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* 19. How many youth 17 and under live in your household?

Thank you for completing the CEDAW Task Force's Survey on Women's Concerns in Milpitas. If you would like more information on the task force or would like to report an incident discrimination or violence against women and girls, please go to the next page.

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* 20. Would you like more information on the task force or to report an incident of discrimination or violence against women and girls in Milpitas?

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