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Equity, Justice, and Belonging Anonymous Feedback Form

We acknowledge that it can be challenging to vocalize thoughts, ideas and suggestions in person or in a group. This can be due to power dynamics in the room, large crowds, being unable to attend due to scheduling, or simply having a thought after a session has concluded. We value your feedback at all times, so feel free to share anonymously below. If you have a question, would like a follow-up or to meet, you have the option to provide your name and email.

  • If you wish to have any direct follow-up with Adriana Black, Director of Health Affairs Diversity, Equity and Inclusion, please provide your name and email below. Leave blank if you wish to remain anonymous.
  • Enter Name