WiDS Belgium Incident Report Form
If you've encountered harassment or discrimination at a Women in Data Science (WiDS) Belgium event, we express genuine sympathy for any distress caused. WiDS Belgium is committed to a safe environment and has a feedback form to address concerns. Sharing your experience helps us take steps to ensure safety for all. Thank you for reporting; we take it seriously and will thoroughly investigate, appreciating your contribution to a secure environment.

All questions on this form are optional. Please only provide the information you are comfortable sharing with WiDS Belgium.
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When was the incident?
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Time
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Where was the incident?
What is your name?
You are welcome to stay anonymous. Please be aware that our ability to investigate anonymous reports is limited.
If you would like someone from WiDS Belgium to follow up with you, please provide an email or phone number.
Who was involved in or witnessing the incident?
Feel free to remain anonymous. You can provide the names of other people involved. 
Please tell us about your experience at our event.
You could describe the:
  • circumstances of the incident.
  • nature of harassment (e.g., verbal, physical, written, electronic).
  • impact on you or on a third person (e.g. emotional, physical, work performance).
  • action that you took to address the incident (if any).
Please provide only the amount of detail you are comfortable with.
What outcome would enable you to comfortably participate in future events?
Do you want to share additional information or comments?
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