Assess community participation, inclusion, and belonging with this customizable template. Get actionable insights to boost engagement. Est. 6-8 min to complete.
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AI-Powered Questions
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Comprehensive insights and recommendations
Sample Survey Items
Q1
Chat Message
Welcome! As you respond, please think about your experiences in this community over the past 3 months.
Q2
Matrix
In the past 3 months, how often did you do the following?
Rows
Never
Rarely
Sometimes
Often
Very often
Attend community events or meetups
•
•
•
•
•
Post or comment in online spaces
•
•
•
•
•
Volunteer for tasks or shifts
•
•
•
•
•
Invite or onboard new members
•
•
•
•
•
Collaborate on projects or working groups
•
•
•
•
•
Offer feedback or suggestions
•
•
•
•
•
Q3
Numeric
Approximately how many community events did you attend in the past 3 months?
Accepts a numeric value
Whole numbers only
Q4
Opinion Scale
Overall, how engaged did you feel with the community in the past 3 months?
Range: 1 – 10
Min: Very lowMid: NeutralMax: Very high
Q5
Multiple Choice
Attention check: Please select "I am paying attention" only.
I am paying attention
I am not paying attention
I prefer not to answer
Q6
Rating
To what extent do you feel you belong in this community?
Scale: 10 (star)
Min: Not at allMax: Completely
Q7
Matrix
Please rate your agreement with the following statements about inclusion (past 3 months).
Rows
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I feel welcome and respected here.
•
•
•
•
•
Diverse perspectives are encouraged and valued.
•
•
•
•
•
Events and activities accommodate different needs.
•
•
•
•
•
Community guidelines are clear and applied fairly.
•
•
•
•
•
I know how to raise concerns if issues arise.
•
•
•
•
•
Q8
Multiple Choice
What, if anything, makes it harder for you to participate? Select up to 5 (you may skip if none apply).
Limited time or competing priorities
Scheduling or time zone conflicts
Caregiving responsibilities
Internet or technology constraints
Language or communication barriers
Unclear where to start
Not seeing enough personal value
Financial costs
Transportation or location
Accessibility needs not met
Feeling unwelcome or excluded
Other
Q9
Multiple Choice
Which contribution paths interest you in the next 3 months? Select up to 4.
Mentoring or peer support
Content creation (posts, docs, tutorials)
Event organizing or facilitation
Design, code, or technical work
Research, testing, or surveys
Welcoming and onboarding newcomers
Fundraising or sponsorship outreach
Advocacy or policy efforts
Governance or committee roles
Q10
Numeric
If you contribute in the next 3 months, about how many hours per month could you offer?
Accepts a numeric value
Whole numbers only
Q11
Constant Sum
Allocate 100 points across the supports that would help you contribute most. (Total must equal 100.)
Total must equal 100
Clear guidance on next steps
Small, well-scoped tasks
Mentorship or peer support
Training or how-to documentation
Flexible scheduling or async options
Tools or access (software, workspace)
Childcare, travel, or financial support
Recognition and feedback
Min per option: 0Whole numbers only
Q12
Dropdown
What is your preferred channel for community updates?
Email newsletter
Community forum
Slack or Discord
Social media group
Project management board
SMS or text messages
Q13
Long Text
What has been most valuable about this community for you in the past 3 months?
Max 600 chars
Q14
Ranking
Please rank the following improvement areas from highest to lowest priority.
Drag to order (top = most important)
Better onboarding and wayfinding
Clearer, more timely communication
More inclusive and accessible events
More hands-on projects to join
Recognition and appreciation programs
Easier ways to share feedback
Q15
Rating
How likely are you to recommend participating in this community to someone you know?
Scale: 10 (star)
Min: Not at all likelyMax: Extremely likely
Q16
Dropdown
How long have you been involved with this community?
Less than 3 months
3–12 months
1–3 years
More than 3 years
Q17
Dropdown
Age
Under 18
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
Q18
Multiple Choice
Which of the following best describe your role(s) here? Select up to 3.
Newcomer or learner
Active participant
Contributor or volunteer
Organizer or facilitator
Maintainer or core member
Supporter or sponsor
Observer
Other
Q19
Dropdown
Region or primary time zone
North America
Latin America
Europe
Africa
Middle East
South Asia
East Asia
Southeast Asia
Oceania
Prefer not to say
Q20
Dropdown
Gender (optional)
Woman
Man
Nonbinary
Another identity
Prefer not to say
Q21
Long Text
Is there anything else you would like to share to improve your experience here?
Max 600 chars
Q22
AI Interview
AI Interview: 2 Follow-up Questions on your community experience
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Q23
Chat Message
Thanks for your time—your feedback helps us improve! You may now close this window.
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