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Employee DEI Belonging, Inclusion & Fairness Survey Template

Use this template to run a fast DEI pulse measuring employee belonging, inclusion and equity. Ready-to-use questions, confidential responses, instant insights.

What's Included

AI-Powered Questions

Intelligent follow-up questions based on responses

Automated Analysis

Real-time sentiment and insight detection

Smart Distribution

Target the right audience automatically

Detailed Reports

Comprehensive insights and recommendations

Sample Survey Items

Q1
opinion scale
In the last 30 days, I felt a strong sense of belonging on my team.
Q2
rating
In the last 30 days, I felt safe to raise concerns without fearing negative consequences.
Q3
multiple choice
In the last 3 months, did you experience or witness exclusionary behavior at work?
  • Yes, experienced directly
  • Yes, witnessed
  • No
  • Prefer not to say
Q4
long text
If applicable, briefly describe what happened (please avoid names or identifying details).
Max 600 chars
Q5
rating
If applicable, performance evaluations that affected me in the last 6 months were fair.
Q6
opinion scale
In the last 30 days, workload was shared fairly within my team.
Q7
dropdown
Compared with peers in similar roles, how fairly are you rewarded overall?
Q8
matrix
Thinking about the last 60 days, how much do you agree with each statement?
Q9
ranking
Rank the areas that would most improve inclusion for you.
Q10
multiple choice
In the last 6 months, which of the following reflect your access to opportunities? (Select all that apply.)
  • I had equal access to high-visibility work.
  • My development requests were supported.
  • I lacked access to stretch assignments.
  • I was passed over without clear reasons.
  • Not sure/none apply
Q11
multiple choice
Quality check: To confirm you're paying attention, please select "Yes".
  • Yes
  • No
Q12
short text
Name one small change next month that would help you feel more included.
Max 100 chars
Q13
rating
In the last 90 days, how likely are you to recommend this company as an inclusive place to work?
Q14
dropdown
What is your primary department or function? (optional)
Q15
dropdown
How long have you worked at this company? (optional)
Q16
dropdown
What is your current work arrangement? (optional)
Q17
dropdown
Are you a people manager? (optional)
Q18
dropdown
What is your location region? (optional)
Q19
dropdown
How do you describe your gender? (optional)
Q20
short text
If you prefer to self-describe your gender, you may enter it here (optional).
Max 100 chars
Q21
long text
Anything else you would like to share to help us improve inclusion? (optional)
Max 600 chars
Q22
ai interview
AI Interview: 2 Follow-up Questions on Inclusion, Fairness, and Belonging
AI Interview
Q23
chat message
Thank you for your time—your feedback helps us improve.

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Employee DEI Belonging, Inclusion & Fairness Survey Template - Survey Template | QuestionPunk