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Employee DEI Belonging & Inclusion Survey Template

Measure workplace belonging, inclusion, and psychological safety. Use expert DEI questions to spot gaps, track progress, and boost engagement and culture.

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
On a scale of 1 to 5, how comfortable do you feel in your day-to-day work environment?
Range: 1 – 10
Min: Not comfortable at allMid: NeutralMax: Extremely comfortable
Q2
Multiple Choice
Which aspects of the work environment most support your effectiveness? (Select all that apply)
  • Open communication
  • Team collaboration
  • Flexible hours
  • Diversity and inclusion initiatives
  • Professional development opportunities
Q3
Opinion Scale
Overall, how inclusive is your workplace?
Range: 1 – 10
Min: Not at all inclusiveMid: NeutralMax: Very inclusive
Q4
Dropdown
What is one change that would most improve your sense of belonging at work?
  • More team connection opportunities
  • Clearer communication
  • Recognition programs
  • Mentorship opportunities
Q5
Matrix
How often do you experience the following at work?
RowsNeverRarelySometimesOftenAlways
Feeling valued•••••
Having your ideas heard•••••
Opportunities for growth•••••
Support from colleagues•••••
Q6
Multiple Choice
Attention check: To confirm you are paying attention, please select "I am paying attention" only.
  • I am paying attention
  • I am not paying attention
Q7
Ranking
Rank the following in order of importance to your personal growth.
Drag to order (top = most important)
  1. Skill development
  2. Career advancement
  3. Work-life balance
  4. Networking opportunities
Q8
Short Text
What is your primary motivation for working at this company?
Max 100 chars
Q9
Dropdown
Which department do you primarily work in?
  • Engineering
  • Product
  • Sales
  • Marketing
  • Operations
  • Human Resources
  • Finance
  • Customer Support
  • Other
  • Prefer not to say
Q10
Dropdown
How long have you worked at the company?
  • Less than 6 months
  • 6-12 months
  • 1-3 years
  • 3-5 years
  • More than 5 years
  • Prefer not to say
Q11
Dropdown
What is your current work arrangement?
  • On-site
  • Hybrid
  • Remote
  • Other
  • Prefer not to say
Q12
Multiple Choice
Are you a people manager?
  • Yes
  • No
  • Prefer not to say
Q13
Chat Message
Welcome to the Employee Belonging and Inclusion Survey!
Q14
Long Text
Please share any additional thoughts or suggestions on how the company can improve belonging and inclusivity.
Max 600 chars
Q15
AI Interview
AI Interview: 2 Follow-up Questions on Belonging and Inclusion
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q16
Chat Message
Thank you for your valuable feedback!

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