Q01
Message
All templates
Gender Equity and Inclusion in School Experience Survey
Measures how students of all genders experience fairness, safety, and belonging at school — from classroom treatment to extracurricular access — with an AI follow-up interview that reconstructs a specific incident behind the numbers instead of leaving it as a vague rating.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
12 questions · ~7 min
Q02
Multiple ChoiceRequired
In the last 30 days, how often have you noticed teachers treating students differently based on gender (who gets called on, disciplined, or encouraged)?
- Never
- Rarely
- Sometimes
- Often
- Almost every day
Q03
MatrixRequired
How much do you agree with each statement about your school?
4 rows × 5 columns
- Teachers encourage students of all genders equally in subjects like math and science
- Sports and activity funding feels equally available regardless of gender
- Dress code rules are enforced the same way no matter a student's gender
- I would feel comfortable reporting gender-based harassment to a staff member
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Opinion ScaleRequired
How safe do you feel expressing your gender identity at this school?
Scale: 0 – 10
Min:Not safe at allMax:Completely safe
Q05
Multiple ChoiceRequired
In the last 30 days, have you personally experienced or witnessed gender-based bullying, jokes, or harassment at school?
- No, neither
- Yes, I witnessed it happen to someone else
- Yes, it happened to me personally
- Yes, both
Q06
Best–Worst Trade-off (MaxDiff)Required
Which of these areas most needs improvement at your school when it comes to gender fairness, and which matters least right now?
- Gender-neutral restroom or changing options
- Equal funding for boys' and girls' sports
- Fair, gender-neutral dress code enforcement
- Gender representation in course material and textbooks
- Counseling support for gender-related concerns
- Consistent enforcement of anti-bullying policies
- Teacher training on gender bias
- Equal access to leadership roles and extracurriculars
Pick best & worst per setBest:Most needs improvementWorst:Least needs improvement
Q07
Rating ScaleRequired
Overall, how would you rate your school's handling of gender-related issues this year?
Range: 1 – 5
Min:Very poorMax:Excellent
Q08
AI Interview
Probe the respondent's safety rating and any bullying experience they reported: ask them to walk through one specific recent situation involving gender at school — what happened, who was involved (teacher, peers, staff), and how it was or wasn't addressed. If they rated safety low or picked bullying, dig into what response from adults would have helped. If they rated things very positively, ask what specifically the school does well that other schools could copy.
Q09
Multiple Choice
What is your gender identity?
- Girl/Woman
- Boy/Man
- Non-binary
- A different identity (please specify)
- Prefer not to say
Q10
Dropdown
What grade are you currently in?
- 6th
- 7th
- 8th
- 9th
- 10th
- 11th
- 12th
- Prefer not to say
Q11
Multiple Choice
What type of school do you attend?
- Public school
- Private school
- Charter school
- Homeschool co-op
- Other
- Prefer not to say
Q12
Message
Thank you for sharing your experience. Your answers, along with responses from other students, will be summarized into a report the school uses to identify and fix gender-related gaps — individual responses stay private.
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
- Uses an AI follow-up interview to reconstruct the specific incident behind a low safety or bullying-experience rating, rather than leaving it as an anonymous number
- Combines quantitative structure (matrix agreement statements, opinion scale, max-diff prioritization, overall rating) with qualitative depth in one flow
- Captures demographic context (gender identity, grade, school type) needed to segment fairness and belonging findings without making the survey feel like an interrogation
- Closes with a transparent chat message explaining how responses (including others') will be used, supporting informed consent
SurveyMonkey
Gender At School Survey TemplateThis is a fielding-ready static template covering gender experiences at school, directly comparable in topic to ours. It benefits from SurveyMonkey's broad template library and established survey logic tools, but it's a fixed question set rather than an adaptive interview. There's no mechanism shown for digging into a specific bullying or safety incident beyond the initial response.
What it does well
- Purpose-built template specifically on gender-at-school topic, so no need to build from scratch
- Backed by SurveyMonkey's mature survey platform (skip logic, panel access, benchmarking)
- Likely quick to deploy given SurveyMonkey's familiar editor and distribution tools
Where it falls short
- Static question set with no adaptive AI follow-up to probe individual incidents behind a low rating
- No voice AI interview or guided task/screen-share option for richer qualitative capture
- No published methodology on how questions were validated or scored, unlike QuestionPunk's transparent prompts
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.