Q01
Long Text
All templates
Employee DEI Pulse: Belonging, Inclusion & Equity
Measures employee perceptions of belonging, psychological safety, fairness, and inclusive practices. Designed for quarterly or monthly pulse deployment with confidential, anonymized responses to inform organizational DEI strategy.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
25 questions · ~4 min
Q02
Long Text
In the last 30 days, I felt a strong sense of belonging on my team.
Q03
Long Text
Performance evaluations that affected me in the last 6 months were fair.
Q04
Long Text
Thinking about the last 60 days, please indicate your agreement: My manager actively seeks out and values diverse perspectives in team discussions.
Q05
Long Text
Based on your overall experience in the last 90 days, how likely are you to recommend this organization as an inclusive place to work?
Q06
Long Text
The following questions help us understand experiences across different groups. All are optional, and responses are reported only in aggregate to protect anonymity.
Q07
Long Text
Thank you for completing this survey. Your responses are confidential and will be reported only in aggregate. Your feedback directly informs our inclusion and equity priorities. If anything in this survey raised concerns you'd like to discuss, please reach out to [HR contact / Employee Assistance Program].
Q08
Long Text
In the last 30 days, I felt safe to raise concerns or disagreements without fearing negative consequences.
Q09
Long Text
In the last 30 days, workload was distributed fairly within my team.
Q10
Long Text
In the last 60 days, my colleagues treated me with respect regardless of my background or identity.
Q11
Long Text
Name one change your team or organization could make in the next month that would help you feel more included.
Q12
Long Text
What is your primary department or function?
Q13
Multiple Choice
In the last 3 months, did you experience or witness exclusionary behavior at work?
Q14
Multiple Choice
Compared with peers in similar roles, how fairly are you rewarded overall (compensation, recognition, and benefits)?
Q15
Long Text
In the last 60 days, my ideas and contributions were given fair consideration in meetings and decisions.
Q16
AI Interview
Based on your survey responses, we'd like to explore your experiences with inclusion, fairness, and belonging in a bit more depth. Please share what's most on your mind, and our AI interviewer will ask a couple of follow-up questions.
Q17
Long Text
How long have you worked at this organization?
Q18
Long Text
If you experienced or witnessed exclusionary behavior, please briefly describe the situation. Avoid including names or identifying details.
Q19
Multiple Choice
In the last 6 months, which of the following have you experienced regarding access to growth opportunities? (Select all that apply.)
Q20
Long Text
Rank the following areas from most to least impactful for improving your experience of inclusion.
Q21
Long Text
What is your current work arrangement?
Q22
Long Text
Are you a people manager?
Q23
Long Text
What is your primary work location region?
Q24
Long Text
How do you describe your gender?
Q25
Long Text
If you selected 'Prefer to self-describe,' please share how you describe your gender.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.