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Workplace Belonging, Inclusion & Psychological Safety Assessment

Measures employee experiences of belonging, perceived inclusion, and psychological safety to identify gaps across teams and track progress over time. Designed for HR and DEI teams conducting periodic organizational assessments.

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

21

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
Chat Message
Welcome to the Workplace Belonging & Inclusion Survey. This survey is designed to understand your experiences with belonging, inclusion, and psychological safety at work. Your responses are completely confidential and will be reported only in aggregate — no individual answers will be shared with managers or leadership. There are no right or wrong answers; we are interested in your honest opinions. Participation is voluntary and you may stop at any time. The survey takes approximately 6–8 minutes to complete. By proceeding, you indicate your consent to participate.
Q2
Opinion Scale
How comfortable do you feel being yourself in your day-to-day work environment?
Range: 1 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q3
Multiple Choice
Which aspects of the work environment most support your sense of belonging? (Select all that apply)
  • Open communication
  • Team collaboration
  • Flexible work arrangements
  • Diversity and inclusion initiatives
  • Professional development opportunities
  • Supportive management
  • Employee resource groups
  • Other (please specify)
Q4
Opinion Scale
Overall, how inclusive do you find your workplace?
Range: 1 7
Min: Not at all inclusiveMid: NeutralMax: Extremely inclusive
Q5
Opinion Scale
I feel like I truly belong at this organization.
Range: 1 7
Min: Strongly disagreeMid: NeutralMax: Strongly agree
Q6
Opinion Scale
How often do you feel your unique perspectives and contributions are valued by your team?
Range: 1 5
Min: NeverMid: NeutralMax: Always
Q7
Opinion Scale
How often do you feel you can participate fully in team decisions and discussions?
Range: 1 5
Min: NeverMid: NeutralMax: Always
Q8
Opinion Scale
How often do you witness or experience exclusionary behavior in your workplace?
Range: 1 5
Min: NeverMid: NeutralMax: Very frequently
Q9
Opinion Scale
I feel safe to express a dissenting opinion at work without fear of negative consequences.
Range: 1 7
Min: Strongly disagreeMid: NeutralMax: Strongly agree
Q10
Opinion Scale
If I make a mistake at work, it is held against me.
Range: 1 7
Min: Strongly disagreeMid: NeutralMax: Strongly agree
Q11
Opinion Scale
I feel comfortable asking for help from my colleagues or manager when I need it.
Range: 1 7
Min: Strongly disagreeMid: NeutralMax: Strongly agree
Q12
Opinion Scale
To what extent do you feel you have equal access to professional development and growth opportunities compared to your colleagues?
Range: 1 7
Min: Not at all equalMid: NeutralMax: Completely equal
Q13
Multiple Choice
Which of the following changes would most improve your sense of belonging at work? (Select all that apply)
  • More team connection and social opportunities
  • Clearer and more transparent communication from leadership
  • Recognition and appreciation programs
  • Mentorship and sponsorship opportunities
  • Greater representation in leadership
  • More inclusive meeting practices
  • Bias and inclusion training
  • Other (please specify)
Q14
Long Text
Based on your responses throughout this survey, please share any additional thoughts or feelings about belonging and inclusion at this company.
Max chars
Q15
AI Interview
Thank you for your responses so far. I'd like to explore your experiences with belonging and inclusion in a bit more depth. Could you describe a specific situation at work where you either felt strongly included or felt excluded?
AI InterviewLength: 3Personality: [Object Object]Mode: Fast
Reference questions: 5
Q16
Chat Message
The following questions help us understand experiences across different groups. All responses are reported in aggregate only.
Q17
Dropdown
Which department do you primarily work in?
  • Engineering
  • Product
  • Sales
  • Marketing
  • Operations
  • Human Resources
  • Finance
  • Customer Support
  • Other
  • Prefer not to say
Q18
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
Q19
Dropdown
What is your current work arrangement?
  • On-site
  • Hybrid
  • Remote
  • Other
  • Prefer not to say
Q20
Multiple Choice
Are you a people manager?
  • Yes
  • No
  • Prefer not to say
Q21
Chat Message
Thank you for completing this survey. Your honest feedback is essential to building a more inclusive workplace. Results will be reviewed in aggregate and shared with leadership to inform action planning. If you have concerns you'd like to discuss directly, please contact your HR representative.

Frequently Asked Questions

What is QuestionPunk?
QuestionPunk is an AI-powered survey and research platform that turns traditional surveys into adaptive conversations. Describe your research goal and get a complete survey draft, conduct AI-moderated interviews with dynamic follow-ups, detect low-quality responses, and produce insights automatically. It's fast, flexible, and scalable across qualitative and quantitative research.
How do I create my first survey?
Sign up, then choose how to build: describe your research goal and let AI generate a survey, pick a template, or start from scratch. Add question types, set logic, preview, and share.
Can the AI generate a survey from a prompt?
Yes. Describe your research goal in plain language and QuestionPunk drafts a complete survey with appropriate question types, ordering, and AI follow-up logic. You can then customize before publishing.
What question types are available?
QuestionPunk supports a wide range of question types: opinion scale, rating, multiple choice, dropdown, ranking, matrix, constant sum, AI interview (text and audio), long text, short text, email, phone, date, address, website, numeric, audio/video recording, contact form, chat message, conversation reset, button, page breaks, and more.
How do AI interviews work?
AI interviews conduct adaptive conversations with respondents. The AI asks follow-up questions based on what the respondent says, probing for clarity and depth. You control the personality, tone, model (Haiku, Sonnet, or Opus), and question mode (fixed count, AI decides when to stop, or time-based).
Can I test my survey before launching?
Yes. Use synthetic testing to create AI personas and run them through your survey. This helps catch issues with question flow, logic, and wording before real respondents see it.
How many languages are supported?
QuestionPunk supports 142+ languages. Add languages from the survey editor, auto-translate questions, and share language-specific links. AI interviews also adapt to the respondent's language automatically.
How can I share my survey?
Share via a direct link (with optional custom slug), embed on your website (iframe or script), distribute through Prolific for research panels, or generate a QR code for physical distribution.
Can I export survey results?
Yes. Export as CSV (flat or wide layout), Excel (XLSX), or export the survey structure as PDF/Word. Filter by suspicious level, response type, language, or date range before exporting.
Does QuestionPunk detect fraudulent responses?
Yes. Every response is automatically classified with a suspicious level (low/medium/high) based on attention checks, response timing, and behavioral signals. You can filter flagged responses in the Responses tab.
What are the pricing plans?
Basic (Free): 20 responses/month. Business ($50/month or $500/year): 5,000 responses/month with priority support. Enterprise (Custom): unlimited responses, remove branding, custom domain, and dedicated support.
How long does support take to reply?
We reply within 24 hours, often much sooner. Include key details in your message to help us assist you faster.

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