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
Template Overview
23
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Opinion Scale
In the last 30 days, I felt a strong sense of belonging on my team.
Compared with peers in similar roles, how fairly are you rewarded overall?
Much less fairly
Somewhat less fairly
About the same
Somewhat more fairly
Much more fairly
Prefer not to say
Q8
Matrix
Thinking about the last 60 days, how much do you agree with each statement?
Rows
Strongly disagree
Disagree
Neither
Agree
Strongly agree
My manager actively seeks diverse viewpoints.
•
•
•
•
•
Meetings I attend include all voices.
•
•
•
•
•
Decisions that affect me are explained clearly.
•
•
•
•
•
Colleagues show respect across differences.
•
•
•
•
•
Work norms accommodate different needs (for example, schedules, accessibility).
•
•
•
•
•
Q9
Ranking
Rank the areas that would most improve inclusion for you.
Drag to order (top = most important)
Manager support
Transparent decision-making
Work-life flexibility
Career development
Pay and recognition
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?
Scale: 11 (star)
Min: Not at all likelyMax: Extremely likely
Q14
Dropdown
What is your primary department or function? (optional)
Engineering/IT
Product
Sales
Marketing
Operations
HR
Finance
Customer Support
Legal
Other
Q15
Dropdown
How long have you worked at this company? (optional)
Less than 6 months
6–12 months
1–2 years
3–5 years
6–10 years
More than 10 years
Prefer not to say
Q16
Dropdown
What is your current work arrangement? (optional)
On-site
Hybrid
Remote
Prefer not to say
Q17
Dropdown
Are you a people manager? (optional)
Yes
No
Prefer not to say
Q18
Dropdown
What is your location region? (optional)
Americas
EMEA
APAC
Other
Prefer not to say
Q19
Dropdown
How do you describe your gender? (optional)
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
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 InterviewLength: 2Personality: [Object Object]Mode: Fast
Q23
Chat Message
Thank you for your time—your feedback helps us improve.
Frequently Asked Questions
What is QuestionPunk?
QuestionPunk is a lightweight survey platform for live AI interviews you control. It's fast, flexible, and scalable—adapting every question in real time, moderating responses across languages, letting you steer prompts, models, and flows, and even generating surveys from a simple prompt. Get interview-grade insight with survey-level speed across qual and quant.
How do I create my first survey?
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Can I export survey results?
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