Q01
Message
All templates
Community Inclusivity, Safety & Satisfaction Survey
Measures member belonging, safety perceptions, and community value among online community or forum participants. Provides actionable insights to improve inclusivity, trust, and engagement.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
30 questions · ~13 min
Q02
Dropdown
How often do you visit the community or forum?
- Several times a week
- About weekly
- About monthly
- Less than monthly
- I visited only once
Q03
Message
The following statements are about your experience in the community. Please indicate how much you agree or disagree with each one.
Q04
Message
How useful is the community for each of the following?
Q05
Long Text
Based on your responses in this survey, please share any additional thoughts or suggestions for improving the community.
Q06
Message
Finally, a few optional questions about you. These help us understand how different groups experience the community.
Q07
Message
Thank you for participating! Your feedback helps us build a more inclusive and valuable community for everyone.
Q08
Multiple Choice
In the last 3 months, which of the following have you done in the community? Select all that apply.
- Browsed posts
- Searched for answers
- Asked a question
- Answered someone's question
- Gave product feedback
- Reported an issue or flagged content
- Upvoted or liked content
- Other (please specify)
Q09
Opinion Scale
I feel welcome in this community.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q10
Opinion Scale
Getting answers to product questions
Scale: 1 – 5
Min:Not at all usefulMax:Extremely useful
Q11
AI Interview
We'd love to hear more about your community experience. An AI moderator will ask you a couple of follow-up questions based on your responses.
Q12
Dropdown
What is your age group?
- Under 18
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Q13
Opinion Scale
I feel safe expressing my opinions in this community.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q14
Opinion Scale
Learning tips and best practices from other members
Scale: 1 – 5
Min:Not at all usefulMax:Extremely useful
Q15
Dropdown
Which of the following best describes your gender?
- Woman
- Man
- Non-binary
- Another gender identity
- Prefer not to say
Q16
Opinion Scale
This community is inclusive of people from diverse backgrounds.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q17
Opinion Scale
Connecting with other customers
Scale: 1 – 5
Min:Not at all usefulMax:Extremely useful
Q18
Dropdown
Where do you primarily live?
- Africa
- Asia
- Europe
- Latin America & Caribbean
- Middle East
- North America
- Oceania
- Prefer not to say
Q19
Opinion Scale
Community guidelines are enforced fairly and consistently.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q20
Opinion Scale
Providing feedback to the company
Scale: 1 – 5
Min:Not at all usefulMax:Extremely useful
Q21
Dropdown
What is the highest level of education you have completed?
- High school or less
- Some college or associate degree
- Bachelor's degree
- Master's degree
- Doctorate or professional degree
- Other
- Prefer not to say
Q22
Opinion Scale
I feel a sense of belonging in this community.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q23
Opinion Scale
Staying up to date on product changes or announcements
Scale: 1 – 5
Min:Not at all usefulMax:Extremely useful
Q24
Dropdown
Which best describes your current employment status?
- Full-time
- Part-time
- Self-employed
- Student
- Unemployed
- Retired
- Prefer not to say
Q25
Dropdown
In the last 3 months, did you encounter any behavior in the community that felt unsafe or exclusionary?
- No, not at all
- Yes, once or twice
- Yes, multiple times
- Not sure
- Prefer not to say
Q26
Opinion Scale
When you search the community, how often do you find what you need?
Scale: 1 – 5
Min:NeverMax:Always
Q27
Long Text
If you feel comfortable, please briefly describe what happened or where it occurred. (Optional)
Q28
Opinion Scale
Overall, how satisfied are you with the community?
Scale: 1 – 7
Min:Not at all satisfiedMax:Extremely satisfied
Q29
Opinion Scale
How likely are you to recommend this community to another customer?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q30
Long Text
What is the main reason for the score you gave?
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.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes dedicated opinion-scale questions on feeling welcome, safe, included, and a sense of belonging — not just general satisfaction
- Asks specifically whether members encountered behavior that felt unsafe/unwelcome, with an open-text follow-up to describe what happened
- Ends with an AI follow-up interview that lets members elaborate on their community experience beyond fixed-choice answers
- Pairs usefulness ratings (answers, tips, networking, feedback, updates) with an overall NPS-style recommend score and open-text 'main reason' question for context
Jotform
Community Engagement Survey Form TemplateA static, customizable form template focused broadly on community engagement rather than inclusivity or safety specifically. Useful as a quick-start form builder option, but it relies on fixed question sets with no adaptive follow-up. Best suited for teams wanting a simple, editable form rather than an interview-style research instrument.
What it does well
- Easy drag-and-drop customization within Jotform's form builder
- Free to start and quick to deploy
- Familiar form format that integrates with Jotform's broader ecosystem
Where it falls short
- Static question list with no adaptive AI follow-up probing on member responses
- No built-in voice interview option or guided screen-share tasks
- No automated per-response quality scoring or auto-generated insight reports
SurveyMonkey
Online Fashion Community Survey TemplateA niche template built for fashion-focused online communities rather than general inclusivity, safety, and belonging measurement. It benefits from SurveyMonkey's established survey infrastructure and analytics dashboards, but it is a fixed-question template that would need substantial rework to address safety/inclusivity topics. It's a fielding-ready form, not an adaptive interview tool.
What it does well
- Backed by SurveyMonkey's mature survey distribution and analytics platform
- Pre-built template reduces setup time for fashion-community research
- Standard survey logic and reporting dashboards available
Where it falls short
- No adaptive AI-driven follow-up questions — respondents get the same fixed items regardless of answers
- No voice AI interview or guided task/screen-share capability
- No transparent, publishable prompt methodology or automated quality scoring per response
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.