Thanks for taking the time to fill out this form about racism in the Republic of Ireland.
Answering in full can take up to 10 mins.
You do not have to answer all the questions if they are not relevant.
iReport.ie makes it as easy as possible for people to self-report all racist incidents by using any device connected to internet. It is a way for people whose voices are often unheard, to be heard, and to participate in the national conversation on racism.