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Workplace Gender Inclusivity Experience Survey

Measures how included, fairly treated, and supported people of all genders feel at work — covering belonging, perceived fairness in promotions and pay, comfort reporting concerns, and which initiatives would help most — with an AI follow-up that surfaces the specific incidents and barriers behind the scores instead of vague sentiment. Built for HR, DEI, and people teams running culture pulse checks.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

14 questions · ~7 min
Q01
Message

Thanks for taking a few minutes for this. We're checking in on gender inclusivity in day-to-day work life here — your honest answers, positive or critical, are what make this useful. Fully confidential, about 6-7 minutes.

Q02
Opinion ScaleRequired

How confident are you that people of all genders have equal opportunities to succeed at this company?

Scale: 0 – 10
Min:Not at all confidentMax:Extremely confident
Q03
MatrixRequired

How much do you agree with each statement about your day-to-day experience?

5 rows × 5 columns
  • I am treated fairly in meetings and discussions here
  • I have equal access to high-visibility projects and stretch assignments
  • I believe promotion decisions are made fairly regardless of gender
  • I believe pay decisions are made fairly regardless of gender
  • I feel comfortable being my authentic self at work
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Multiple ChoiceRequired

In the last 12 months, have you personally experienced or witnessed gender-based exclusion, bias, or unequal treatment at work?

  • Yes, I experienced it personally
  • Yes, I witnessed it happen to someone else
  • No
  • Not sure
Q05
Rating ScaleRequired

How comfortable would you be raising a gender-related concern with HR or a manager here?

Range: 1 – 5
Min:Very uncomfortableMax:Very comfortable
Q06
Best–Worst Trade-off (MaxDiff)Required

Which of these would do the most, and the least, to improve gender inclusivity for you personally?

  • Flexible or extended parental leave
  • Transparent, published pay bands
  • Formal sponsorship for promotion opportunities
  • Bias-interruption training for managers
  • Structured mentorship programs
  • Active employee resource groups
  • Flexible or remote work arrangements
  • Structured return-to-work support after leave
Pick best & worst per setBest:Would improve my experience mostWorst:Would improve my experience least
Q07
Rating Scale

How visible is senior leadership's commitment to gender inclusivity in actual day-to-day decisions, not just stated values?

Range: 1 – 5
Min:Not visible at allMax:Highly visible
Q08
AI Interview

Probe the reasoning behind the respondent's confidence score and any exclusion they reported experiencing or witnessing: ask for a specific recent example, what happened, and how it was or wasn't addressed. If they scored high confidence and reported no incidents, explore what specifically makes the environment feel equitable so it can be reinforced elsewhere. If they flagged discomfort reporting concerns, dig into what would make reporting feel safer or more consequence-free.

Q09
Long Text

Is there anything else about gender inclusivity at this company you'd like leadership to know?

Q10
Message

Last few questions are about you — they help us spot patterns across groups. All are optional.

Q11
Multiple Choice

Which gender do you identify with?

  • Woman
  • Man
  • Non-binary or genderqueer
  • Prefer not to say
Q12
Multiple Choice

Which broad function or department are you part of? (Template note: replace these categories with your organization's actual department list before launching.)

  • Engineering/Product
  • Sales/Marketing
  • Operations
  • People/HR
  • Finance/Legal
  • Customer Support
Q13
Multiple Choice

How long have you worked at this company?

  • Less than 1 year
  • 1-3 years
  • 4-7 years
  • 8+ years
  • Prefer not to say
Q14
Message

That's everything — thank you for your honesty. Your answers feed directly into a report on where gender inclusivity is working and where leadership needs to act, and no individual response will be shared on its own.

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

  • Goes beyond scores with an AI follow-up interview that probes the reasoning behind confidence ratings and surfaces specific exclusion or incidents behind the numbers
  • Pairs a matrix of day-to-day experience statements with a MaxDiff question so teams see both how people feel and which initiatives would actually help most
  • Includes direct questions on comfort reporting concerns and visibility of leadership commitment, plus demographic breakdowns for spotting patterns across gender, department, and tenure
  • Closes with an open-ended question inviting anything else respondents want leadership to know, giving qualitative context the automated report can synthesize alongside scored data

SurveyMonkey

Gender Inclusivity At Work Survey Template

A fielding-ready template covering similar ground on gender inclusivity at work, from a well-established survey platform with broad distribution and analytics tools. It's a fixed question set rather than an adaptive interview, so all follow-up depends on additional static questions being pre-written.

What it does well

  • Established, widely-used survey platform with mature distribution and reporting features
  • Purpose-built template specifically for gender inclusivity, so no need to adapt an adjacent topic

Where it falls short

  • No adaptive AI follow-up, so respondents can't be probed in the moment on why they rated something a certain way
  • No voice interview option or automated per-response quality scoring
  • Doesn't publish the underlying question logic or prompts, so methodology transparency is limited

QuestionPro

Gender Discrimination Survey Questions + Sample Questionnaire Template

A questionnaire template focused specifically on gender discrimination, which overlaps with but is narrower than broad inclusivity, belonging, and fairness measurement. It reads as a sample question bank for adapting into a survey rather than a ready-to-send interactive interview experience.

What it does well

  • Focused set of questions specifically targeting discrimination experiences
  • Backed by a full survey platform with standard reporting and distribution tools

Where it falls short

  • Static question list with no adaptive AI follow-up to dig into the specifics behind a discrimination report
  • No guided task or screen-share capability, and no voice AI interview option
  • Narrower scope (discrimination) than a full inclusivity, fairness, and support experience survey

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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