すべてのテンプレート
Education & Academic

Campus Climate, Belonging, and Inclusion Survey

Measures students' sense of belonging, perceived fairness and safety, and firsthand experiences with exclusionary or discriminatory treatment on campus. Built for institutional research and DEI offices, with an AI follow-up interview that reconstructs the specific incident or context behind a student's belonging score instead of leaving it as an abstract number.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全14問・約7分
Q01
メッセージ

Thanks for taking a few minutes to share how campus feels for you. Your answers help shape decisions about inclusion, safety, and support services — everything here is confidential. About 6-7 minutes.

Q02
オピニオンスケール必須

Overall, how strongly do you feel you belong at (Replace with institution name)?

スケール: 1 – 7
最小:Not at all最大:Extremely strongly
Q03
マトリクス必須

How much do you agree or disagree with each statement about campus climate?

5行 × 5列
  • Students of different backgrounds are treated with respect here
  • Faculty and staff create an inclusive learning environment in my classes
  • I feel physically safe on campus, including at night
  • Campus policies and discipline are applied fairly regardless of a student's background
  • I would recommend this campus's environment to a prospective student like me
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
選択式必須

In the last 12 months, how often have you personally experienced exclusionary, disrespectful, or discriminatory treatment on campus?

  • Never
  • Once
  • A few times
  • Regularly
Q05
選択式

In the last 12 months, how often have you witnessed someone else experience this kind of treatment on campus?

  • Never
  • Once
  • A few times
  • Regularly
  • Not sure
Q06
オピニオンスケール必須

If you experienced or witnessed a climate concern, how comfortable would you be reporting it to the university?

スケール: 1 – 5
最小:Very uncomfortable最大:Very comfortable
Q07
ベスト・ワースト選択(MaxDiff)必須

Which of these should the university prioritize improving first? Pick the one that matters most and the one that matters least each round.

  • More diverse faculty and staff
  • A clearer, easier process for reporting incidents
  • Mandatory bystander/allyship training
  • More inclusive course content and assignments
  • Better lighting and security across campus
  • More funding for identity-based student organizations
  • Faster, more visible follow-up after a concern is reported
各セットで最も良いもの・最も悪いものを選択最も良い:Improve first最も悪い:Improve last
Q08
選択式

Which of these campus resources have you used in the past year?

  • Counseling or mental health services
  • Diversity & inclusion office
  • Student advocacy or ombuds office
  • Bias incident reporting system
  • Peer support or affinity group
Q09
AIインタビュー

Ground the respondent's belonging score and reporting-comfort answer in a real, specific situation: what happened, who was involved, and what shaped how included or excluded they felt. If they reported experiencing or witnessing exclusionary treatment, gently probe what happened, whether they reported it, and why or why not. If their belonging score was high, probe what specifically makes campus feel that way so it can be replicated elsewhere.

Q10
メッセージ

Almost done — just a few quick background questions to help us see patterns across student groups. Feel free to skip any of these.

Q11
選択式

What is your current academic level?

  • First-year undergraduate
  • Sophomore
  • Junior
  • Senior
  • Graduate or professional student
  • Other
  • Prefer not to say
Q12
選択式

How do you describe your gender identity?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q13
選択式

How do you describe your race or ethnicity? Select all that apply.

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Hispanic or Latino/a/x
  • Middle Eastern or North African
  • Native Hawaiian or Pacific Islander
  • White
  • Prefer not to say
Q14
メッセージ

Thank you for your honesty. Your responses are combined with others across campus to inform belonging, safety, and inclusion initiatives — no individual answers are shared with instructors or advisors.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Goes beyond a belonging score with an AI follow-up interview that asks respondents to reconstruct the actual incident or context behind a low belonging or reporting-comfort answer, giving DEI offices a real narrative instead of a number
  • Pairs quantitative measures (opinion-scale belonging score, climate agreement matrix, frequency-of-experience and witnessing questions, MaxDiff prioritization, resource-usage checklist) with qualitative depth in one flow
  • Uses transparent, reviewable AI prompts and automated per-response quality scoring, so IR and DEI teams can audit exactly what was asked and how responses were graded
  • Auto-generates a report from combined structured and interview data, with a free tier available and a $50/mo Business plan for full institutional use — no separate academic tier is offered

Jotform

Campus Climate Survey Form Template

A ready-to-field, drag-and-drop form covering standard campus climate questions. It's built on Jotform's general form platform, so customization and distribution are easy, but the questionnaire itself is static and generic rather than purpose-built for DEI/IR incident analysis.

優れている点

  • Quick to deploy and customize via a familiar drag-and-drop form builder
  • Benefits from Jotform's broad integration and distribution ecosystem

物足りない点

  • Static question set with no adaptive follow-up to probe individual responses further
  • No mechanism to reconstruct the specific incident behind a low score — respondents choose from fixed options only

QuestionPro

Campus Climate Survey Questions + Sample Questionnaire Template

This page reads more as a question bank and sample questionnaire guide than a single fielding-ready survey, offering example items researchers can copy into their own instrument. It's a useful reference for question design but leaves assembly and logic-building to the user.

優れている点

  • Broad library of sample question wording researchers can borrow from
  • Backed by an established enterprise survey platform with analytics tools

物足りない点

  • Presented as a sample/guide rather than a ready-to-send template, requiring manual assembly
  • No adaptive or voice AI interview component to follow up on individual open-ended answers

SurveyMonkey

Belonging And Inclusion Survey Template

A polished, ready-to-send template focused specifically on belonging and inclusion, backed by a well-known survey platform with strong distribution and reporting tools. Like most SurveyMonkey templates, it relies on fixed-choice and rating items without any conversational follow-up.

優れている点

  • Purpose-built belonging/inclusion focus with clean, tested question flow
  • Reliable distribution, panel, and basic analytics tools from an established platform

物足りない点

  • No adaptive AI or voice interview to dig into the context behind a belonging score
  • No published methodology for how underlying question logic or scoring works

SurveySparrow

Free School Climate Survey Template | For Students

A free, conversational-style template covering general school climate themes; it's framed around students broadly and school settings rather than specifically higher-education campus climate or DEI reporting workflows. Useful as a lightweight starting point, but not tailored to institutional research needs.

優れている点

  • Chat-style, student-friendly survey format that may improve completion rates
  • Free to use as a starting template

物足りない点

  • Oriented toward general school climate rather than campus-specific belonging, fairness, and discrimination reporting
  • No adaptive AI follow-up to reconstruct incidents behind low scores, and no automated quality scoring of responses

よくあるご質問

「Campus Climate, Belonging, and Inclusion Survey」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が14問含まれており、最初の設問は次のとおりです:「Thanks for taking a few minutes to share how campus feels for you. Your answers help shape decisions about inclusion, sa…」・「Overall, how strongly do you feel you belong at (Replace with institution name)?」・「How much do you agree or disagree with each statement about campus climate?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、14問を約7分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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