すべてのテンプレート
Employee & HR

Workplace Diversity, Equity & Inclusion Experience Survey

Measures how included, fairly treated, and heard employees feel across backgrounds, and prioritizes where DEI investment would have the most impact. An AI follow-up interview digs into specific belonging or fairness experiences behind the scores instead of leaving them as abstract ratings.

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 for this. We want to understand how included and fairly treated people feel at work across different backgrounds and identities — your honest answers, positive or critical, directly shape what we work on next. All responses are handled confidentially. About 5-6 minutes.

Q02
オピニオンスケール必須

Overall, how much of a sense of belonging do you feel at this organization?

スケール: 1 – 7
最小:Do not belong at all最大:Fully belong
Q03
マトリクス必須

How much do you agree or disagree with the following statements about your day-to-day experience at work?

4行 × 5列
  • I am treated fairly regardless of my background
  • I have the same opportunities for advancement as my colleagues
  • My opinions are heard and valued in team decisions
  • I can be my authentic self at work without hiding parts of who I am
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
選択式必須

In the last 12 months, have you personally experienced or witnessed unfair treatment at work based on a personal characteristic (e.g., race, gender, age, disability, religion, sexual orientation)?

  • Yes, I experienced it
  • Yes, I witnessed it happen to someone else
  • Both experienced and witnessed it
  • No
  • Not sure
Q05
オピニオンスケール必須

How confident are you that senior leadership is genuinely committed to building a diverse and inclusive workplace, beyond stated policies?

スケール: 1 – 7
最小:Not at all confident最大:Extremely confident
Q06
選択式必須

If you witnessed discrimination or exclusionary behavior at work, how comfortable would you be reporting it?

  • Very comfortable
  • Somewhat comfortable
  • Somewhat uncomfortable
  • Very uncomfortable
  • Not sure who I would report it to
Q07
ベスト・ワースト選択(MaxDiff)必須

Which of these actions would do the most to improve diversity and inclusion here? Pick the most and least impactful in each set shown.

  • More diverse hiring pipelines
  • Manager training on inclusive leadership
  • Clearer, more transparent paths for promotion
  • Employee resource groups or affinity networks
  • Regular pay equity audits
  • Flexible work arrangements
  • Anonymous, trusted reporting channels
各セットで最も良いもの・最も悪いものを選択最も良い:Most impactful最も悪い:Least impactful
Q08
AIインタビュー

Explore the respondent's belonging score and any reported experience of unfair treatment in concrete detail: ask for a specific recent moment that shaped that score, what happened, how it was (or wasn't) addressed, and what a good response from a manager or leadership would have looked like. If they said they experienced or witnessed discrimination, gently probe whether they reported it and why or why not. If their belonging score was high, ask what specifically makes them feel included so it can be replicated for others.

Q09
メッセージ

Almost done — these last questions are optional and help us see whether experiences differ across groups. Skip anything you'd rather not answer.

Q10
選択式

Which gender identity do you most identify with?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q11
選択式

Which race or ethnicity do you identify with? (Select all that apply)

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Hispanic or Latino
  • Native Hawaiian or Other Pacific Islander
  • White
  • Two or more races
  • Prefer to self-describe
  • Prefer not to say
Q12
選択式

Which age range do you fall into?

  • Under 25
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q13
選択式

Do you identify as a person with a disability?

  • Yes
  • No
  • Prefer not to say
Q14
メッセージ

Thank you for sharing this — including the harder parts. Your answers are combined with your colleagues' anonymously to identify patterns and shape concrete steps in our diversity and inclusion plan.

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 single belonging score with an AI follow-up interview that explores the specific fairness or exclusion experience behind a respondent's rating, instead of leaving it as an abstract number.
  • Combines quantitative measures (opinion scale on belonging, matrix on day-to-day treatment, MaxDiff prioritization of DEI actions) with qualitative depth in one flow.
  • Uses plain-language chat messages to set expectations and thank respondents for sharing 'the harder parts,' which supports honest disclosure on a sensitive topic.
  • Collects demographic breakdowns (gender, race/ethnicity, age, disability) as clearly optional, so equity-gap analysis can be layered onto the belonging and fairness data without forcing disclosure.

Jotform

Questionnaire for Equity & Managing Diversity at workplace Form Template

A static, customizable form template built on Jotform's general-purpose form builder rather than a dedicated survey research platform. Good for quick data collection and easy drag-and-drop editing, but not designed for probing open-ended fairness or belonging experiences in depth.

優れている点

  • Highly customizable via Jotform's drag-and-drop form builder
  • Easy to embed, share, and integrate with other Jotform workflows/apps
  • Low barrier to quickly stand up a basic diversity questionnaire

物足りない点

  • Fixed set of questions with no adaptive follow-up to explore individual belonging or fairness stories
  • No published methodology on question design or scoring rigor
  • No voice interview or guided task/screen-share option for richer qualitative context

SurveySparrow

Workplace Diversity Questionnaire Template

A conversational-style survey template that presents questions one at a time, giving it a friendlier feel than a traditional form. It still relies on pre-written questions rather than an AI that adapts follow-ups to each respondent's specific answers.

優れている点

  • Conversational, one-question-at-a-time UI that can feel less clinical than a grid form
  • Template is ready to field with minimal setup
  • Part of a broader employee-experience template library for reuse across HR programs

物足りない点

  • No adaptive AI interviewing — the same fixed question sequence is shown to every respondent regardless of their score
  • No automated per-response quality scoring or transparent prompt disclosure
  • No voice-based interview option for capturing nuance beyond text/multiple-choice

QuestionPro

Workplace diversity survey template

Enterprise-oriented survey template backed by QuestionPro's broader analytics and reporting suite, suitable for tracking diversity metrics over time. It is a structured questionnaire, not an interview format, so open-ended experiences are captured only as free-text fields rather than explored dynamically.

優れている点

  • Backed by established analytics/reporting dashboards for tracking DEI metrics over time
  • Template fits within a larger workforce/employee-experience survey ecosystem
  • Likely supports segmentation and cross-tabulation of demographic data

物足りない点

  • Static question set with no AI-driven follow-up probing on individual fairness or belonging incidents
  • No transparent, respondent-facing publishing of interview prompts/methodology
  • No guided screen-share task or voice interview capability

SurveyMonkey

Diversity Survey Template

A widely used, expert-reviewed template on a mature survey platform, useful as a baseline DEI questionnaire. Like other form-based tools it presents a fixed question set to all respondents, with no mechanism to adaptively dig into the reasoning behind a low belonging or fairness score.

優れている点

  • Backed by SurveyMonkey's broad survey methodology expertise and large user base
  • Easy integration with SurveyMonkey's existing analysis and benchmarking tools
  • Simple to deploy at scale across large organizations

物足りない点

  • No adaptive AI follow-up interview — respondents who report unfair treatment get no further probing on specifics
  • No automated quality scoring of individual responses
  • No voice AI interview or guided task/screen-share option

よくあるご質問

「Workplace Diversity, Equity & Inclusion Experience 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 for this. We want to understand how included and fairly treated people feel at work acro…」・「Overall, how much of a sense of belonging do you feel at this organization?」・「How much do you agree or disagree with the following statements about your day-to-day experience at work?」。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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