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3. The newly formed Mountlake Terrace Diversity, Equity, and Inclusion (DEI) Commission is interested in learning about your experiences related to diversity, equity, and inclusion. We hope to use feedback from residents to inform the city’s plan and strategy to creating a more diverse and inclusive community in Mountlake Terrace.
5. 1. How long have you lived in Mountlake Terrace?
   -- Select One --Less than 1 year1-3 years3-10 years10+ years
6. 2. With 5 being the most and 1 being the least, how diverse, equitable, and inclusive is the city on a scale of 1-5?
   -- Select One --54321
8. 3. Please explain the reasoning for your rating in question number 2.
10. 4. What current barriers do you see or have affected you personally? Have you experienced any form of exclusion, racism, or inequity while living in Mountlake Terrace? Please share as much as you feel comfortable.
12. 5. What groups, identities, or communities do you feel are most often overlooked, excluded, or not represented in Mountlake Terrace?
14. 6. In what areas is the city doing well to be more diverse and inclusive?
16. 7. In what ways can the city improve in regards to diversity, equity, and inclusion?
18. Reflect on what a truly diverse, equitable, and inclusive city would look like.
20. 1. What makes a community feel safe and welcoming to you?
22. 2. What do you wish our community would do with regard to DEI topics?
24. 3. What solutions or ideas do you have to help the city address exclusion and inequities?
26. 4. Have you lived somewhere else where you experienced a greater feeling of inclusion? What was the city doing to increase diversity or make residents of all backgrounds feel welcome?
28. 5. Is there anything else you would like to share?
30. 6. If you would like someone from the city or DEI Commission to follow-up with you, please include your e-mail address.
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32. 1. Receive an email copy of this form.
33. Email address

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