1.How did you FIRST hear about the 21-Day Equity Challenge? (Please select one)

Social Media (ex. Facebook, Instagram, etc.)

Newsletter or email from United Way of the Battle Creek and Kalamazoo Region

My supervisor or employer

A colleague or coworker

A family member, friend or acquaintance

Other (please specify)

2.Why did you sign up for the challenge? (Choose your TOP response)

I want to learn more about race equity and social justice

My supervisor or employer suggested it

My team is doing the challenge together

I want to be more active in race equity and social justice issues

Other (please specify)

3.What are your goals and intentions for the 21-Day Equity Challenge? (Choose your PRIMARY reason)

Learn more about myself and community

Shift my way of thinking

Engage with people from different backgrounds than my own

Shift how I interact with others in my community

Help my employer and/or team address issues of race equity and social justice

Learn how to get involved with advocacy and making changes in my community

Lead or join efforts to make changes in my community

Other (please specify)

4.How will you ensure that you stay committed for the full 21 days of the challenge? (Choose your TOP Strategy)

I will prioritize this work and make time for it each day

My team will help support me to stay engaged

I will offer to lead and/or support group discussions with my team or network

I will practice self-care during the challenge (ex. stress management)

Not sure

Other (please specify)

5.Pretend that it is the last day of the Challenge, how will you know that you have succeeded? (What will success look like for you?)