Q01
Long Text
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DEI Pulse: Inclusion, Equity & Belonging Assessment
A 30-day pulse instrument for HR and people teams to measure employees' sense of inclusion, procedural equity, and representation—designed to surface bias gaps, track belonging trends, and prioritize DEI initiatives.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
19 questions · ~4 min
Q02
Long Text
Overall, how included did you feel at work in the last 30 days?
Q03
Long Text
In the last 30 days, policies and rules were applied consistently on my team.
Q04
Long Text
In the last 30 days, I saw people who share my background or identity represented in leadership and visible roles.
Q05
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Based on your responses in this survey, please share any additional thoughts about inclusion, equity, or belonging at work—including what's working well or what could improve.
Q06
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How long have you been with the organization?
Q07
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Thank you for completing this survey. Your responses are confidential and will be reported only in aggregate. Your feedback helps shape a more inclusive workplace.
Q08
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In the last 30 days, I felt safe to speak up and share my ideas at work.
Q09
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In the last 30 days, I had fair access to growth and development opportunities.
Q10
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When I shared feedback in the last 30 days, I saw evidence that it was acknowledged or acted upon.
Q11
AI Interview
We'd like to understand your experiences in more depth. Please share a specific situation from the last 30 days related to inclusion, fairness, or belonging at work, and our AI moderator will ask a couple of brief follow-up questions.
Q12
Long Text
Are you a people manager?
Q13
Long Text
In the last 30 days, I felt a sense of belonging on my team.
Q14
Long Text
Which process felt least fair to you in the last 30 days, if any?
Q15
Long Text
Rank the following areas by where you believe DEI effort should focus most next quarter (1 = highest priority).
Q16
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What is your primary work arrangement?
Q17
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In the last 30 days, my unique perspectives and contributions were valued by my colleagues.
Q18
Long Text
Which region do you primarily work in?
Q19
Multiple Choice
In the last 30 days, did you personally experience or witness any of the following at work? (Select all that apply)
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.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.