CSP Self Identification Survey
1.
In which Division do you patrol?
2.
In which Zone do you patrol?
3.
Select the option(s) that best describes your current gender identity.
Gender-fluid
Male
Nonbinary
Trans man
Trans woman
Two-spirit
Female
I don't identify with any option provided
I prefer not to answer
I identify as __________________ (please specify)
4.
Select the sexual orientation(s) that best describes how you currently think of yourself.
Asexual
Bisexual
Gay
Heterosexual
Lesbian
Pansexual
Queer
Two-Spirit
I don’t identify with any option provided
I prefer not to answer
I identify as _____
5.
Do you identify as a member of any of the following group(s):
Indigenous
First Nation
Inuit
Metis
I do not identify with any group listed
I prefer not to answer
6.
Please describe your racial and ethnic identity in your own words: (open text response)
7.
To help us compare our CSP demographics with the general population, please select all that apply:
Black, Caribbean (e.g., Jamaica, Haitian, Trinidadian/Tobagonian)
Black, African (e.g., Nigerian, Ethiopian, Congolese)
Black, not listed above
North African (e.g., Egyptian, Moroccan, Algerian)
South Asian (e.g., Indian, Pakistani, Sri Lankan, Indo-Caribbean)
East Asian (e.g., Chinese, Korean, Japanese, Taiwanese)
Southeast Asian (e.g., Filipinx, Vietnamese, Cambodian)
Pacific Islander (e.g., Samoan, Fijian, Native Hawaiian)
West or Central Asian (e.g., Iranian, Lebanese, Afghan)
Latin American or Latinx (e.g., Colombian, Salvadoran, Peruvian)
Indigenous outside of Canada (e.g., Māori, Sámi, Maasai, Maya)
Mixed race or ethnicity, including one or more of the identities listed above
White (e.g., English, French, Swedish)
Another racial or ethnic identity
8.
The Accessible Canada Act defines disability as “any impairment, including a physical, mental, intellectual, cognitive, learning, communication or sensory impairment—or a functional limitation—whether permanent, temporary or episodic in nature, or evident or not, that, in interaction with a barrier, hinders a person’s full and equal participation in society.” Do you self-identify as a person with a disability (as described in the Act or otherwise)?
Yes
No
I prefer not to answer
9.
If you answered yes to the question above, please select the type(s) of disability that applies to you.
Communications
Developmental
Dexterity
Flexibility
Hearing
Learning
Memory Mental-health related
Mobility
Pain-related
Seeing
Disability not listed above
I prefer not to answer
I identify as
10.
Do you identify as a member of a religious group or community?
Yes
No
I prefer not to answer
if yes, please describe in your own words
11.
Please share any suggestions, feedback, or comments that you have which could enhance Equity, DIversity, and Inclusion in the CSP.
12.
Would you like to be contacted via email regarding this survey?
Yes
No
13.
email address (for draw & or contact) :
Current Progress,
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