Name*

Gender Identification*—Please choose an option—MaleFemaleNon-Binary Gender FluidTransgender 

Age*—Please choose an option—18-3030-4040-5050-6060-7070+ 

Industry Type*—Please choose an option—GovernmentNon-ProfitFor-Profit

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1. Something I avoid is:

2. I typically try to control:

3. The emotion I feel least comfortable with is:

4. I often hesitate to express:

5. What I often judge in others is:

6. Things that I find frivolous or nonsensical are: 

7. I usually undermine myself (or my authority) by: 

8. Are you comfortable with your data being used for research purposes as anonymous themes? 
YESNO