Self Identification Questionnaire Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Purpose Knowledge Network is committed to supporting authentic stories that elevate a diverse range of voices and perspectives. Collecting self-identification information helps to measure our progress and supports industry efforts towards screen equity and increased representation from Indigenous, Black people, people of colour, 2SLGBTQ+ and persons with disabilities in key creative roles. This questionnaire allows key creatives to disclose information anonymously and securely to Knowledge Network. With approval of the CMF, this questionnaire has been created based on the PERSONA-ID data collection system and in support of its efforts to measure and monitor demographic representation and participation of content creators in the screen industries. You are being asked to complete this questionnaire as you have a key creative role in a commissioned or second-window project supported by Knowledge Network. Terms of Use & Privacy While this questionnaire is mandatory, the option to select “I prefer not to answer” is available with any question. Please note that the data is anonymous and only viewed in aggregate form. Once the email invitation has been received, the questionnaire must be completed within 7 days. Please note that you must submit one self-identification questionnaire for each project you are attached to. Individuals attached to multiple projects should have received separate emails with a unique code for each project. If you have questions or need assistance, contact Nikki Beesley, Independent Production Liaison: [email protected]. If You in Statement *I hereby acknowledge that all self-identification information is provided on a voluntary basis, and, if provided, is accurate and I consent to its use by Knowledge Network for the Purposes and accept the Terms of Use & Privacy.General G1. Please enter the code you were given in the survey email. *G2. Which role do you occupy for this project? If you occupy more than one, select all that apply. *ProducerWriterDirectorShowrunnerGender and Sexual Orientation Please provide information about your gender identity and sexual orientation. In the context of Knowledge Network, the acronym 2SLGBTQ+ is used to refer to individuals who openly identify as Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer and other sexual orientations and gender identities outside the heterosexual and cisgender norm. These individuals may or may not see themselves as part of a 2SLGBTQ+ community but often share the common experience of discrimination and exclusion by society. Q1. In terms of gender, I identify as: *WomanManGender diverse (including Two-Spirit, Non-Binary, Genderqueer, or Gender Non-Conforming)I prefer not to answerQ2. I openly identify as a 2SLGBTQ+ person. *YesNoI prefer not to answerQ3. If you answered yes in the last question: More specifically, I define myself as: *Two-SpiritLesbian or gayBisexual or PansexualTransgenderQueer or GenderqueerNon-Binary, Gender Non-Conforming or Gender FluidIntersexAsexualNone of the aboveI prefer not to answerOtherQ3a. If you selected Other, please specify here. *Indigenous Peoples to Canada Indigenous Peoples to Canada is an umbrella term used to address and acknowledge the First Nations, Inuit and Métis Peoples who live in the territory that is today known as Canada and are descendants of the original inhabitants of this territory prior to colonization. Indigenous persons are encouraged to communicate their affiliation to one or more specific nations, communities, tribes, settlements, reserves or families to ensure the representation of their People’s narrative sovereignty in a responsible way. Q4. I belong to one of the following Indigenous Peoples to Canada. *First Nations: Status and non-status individuals who are citizens, recognized members or direct blood relatives of a self-governing band, a reserve-based community, or a larger tribal group.Métis: Individuals who are culturally distinct from First Nations and Inuit and have a direct line of Métis ancestry to a known Métis settlement, community, or family group.Inuit: Individuals recognized as the First Peoples of the arctic regions of Canada including Nunavut, Nunavik, Nunatsiavut, and parts of the Northwest Territories, whose relatives are also in Greenland and Alaska.I prefer not to answerNoQ5. If your answer in the last question is First Nations, Métis, or Inuit: More specifically, I belong to the following nation(s), community(ies), tribe(s), settlement(s), reserve(s) or family(ies). Please provide your answer in the box below. *Racial and Ethnocultural Identity Even for individuals who share a similar identity, there are a variety of ways for people to self-identify by racial, ethnic, or cultural backgrounds. In this section you will find different options to identify yourself knowing that preferences may vary significantly within groups that share a common background. NOTE: The standardized identity categories below marked with a star (*) are considered “Racialized Communities” by the CMF. The CMF recognizes that being racialized is a social construct that cannot solely be determined by a DNA test or ancestry, but rather by the collective acknowledgement that individuals from these communities are seen as non-white and currently experience specific barriers, prejudice and discrimination in Canadian society. Indigenous Peoples to Canada are excluded from this definition. Q6. The standardized identity category that best describes my racial or ethnocultural identity is: You may choose a single option that best describes your ethnicity or regional descendancy, or more than one if you consider yourself a bi or multiracial person. *White or of European Descent: Individuals of European origin, including British and French Canadians as well as descendants from any other European ethnic group or nation.Central or North Asian: Individuals who are originally or direct descendants from Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan and the Russian regions of Ural, Siberia and the Far East Russia, etc.Black (or Afro-Canadian)*: Individuals who are originally or direct descendants from Sub-Saharan Africa including those with origins in the United States, the Caribbean, Latin America, etc.Latin American*: Also known as Latino, Latina, Latinx, or Latine are people originally or direct descendants from communities in Mexico, Central and South America (including Brazil) as well as Spanish-speaking Caribbean nations.Middle Eastern, West Asian or North African*: People originally or direct descendants from communities in the Middle East or West Asia and North Africa, including countries from the Arab world, Iran, Turkey, Israel, etc.South Asian*: People originally or direct descendants from communities in Afghanistan, Pakistan, India, Nepal, Bangladesh, Sri Lanka, Bhutan, Maldives, etc.Southeast Asian*: People originally or direct descendants from communities in Brunei, Cambodia, East Timor, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam, Palau, Micronesia, etc.East Asian*: People originally or direct descendants from communities in China, South and North Korea, Japan, Mongolia, etc.Indigenous Peoples from outside Canada*: Indigenous peoples from other regions not mentioned above such as Oceania, Pacific Islands, United States, or Northern Asia and Northern Europe.I prefer not to answerNone of the aboveQ7. With respect to my racial or ethnocultural background, I prefer to be identified using the following term(s) (e.g., Quebecer/Quebecois, Irish, Indo-Canadian, Arab, Caribbean, Jewish, Muslim, Ukrainian, etc.). You may write up to 3 terms. *Disabled Persons or Persons with Disabilities A disabled person or a person with disabilities is someone living with one or more physical, mental, intellectual, cognitive, sensory or communicational conditions or functional limitations that, in interaction with a social, policy or environmental barrier, presently hinders their full and equal participation in society. These conditions or functional limitations – evident or not – may be permanent, temporary or episodic in nature. Q8. I am a person living with one or more disabilities. *YesNoI prefer not to answerQ9. If you selected yes in the last question: More specifically, I live with the following disabilities or conditions: *Deaf or hard-of-hearingSpeech or language disabilitiesBlind or low visionWheelchair or mobility device userIntellectual disabilitiesMental health disabilitiesLearning disabilitiesAutistic or neurodiverseChronic diseaseI prefer not to answerOtherQ9a. If you selected Other, please specify here. *Comments Q10. The terminology included above is evolving as we strive to advance equity, diversity, and inclusion in our practices. If you have suggestions, please comment below.Important Please review the information you entered and make any required corrections before submitting. Thank you! Submit
