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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 · ~9 min
Q01
Message

Welcome to the DEI Pulse Survey. This short survey asks about your experiences with inclusion, fairness, and belonging at work over the last 30 days. Your participation is completely voluntary, and you may stop at any time. There are no right or wrong answers—we are interested in your honest perceptions. All responses are confidential and will be reported only in aggregate, so no individual can be identified. The results will be used internally to guide workplace improvements. The survey takes approximately 5–7 minutes to complete.

Q02
Opinion Scale

Overall, how included did you feel at work in the last 30 days?

Scale: 17
Min:Not at all includedMax:Completely included
Q03
Opinion Scale

In the last 30 days, policies and rules were applied consistently on my team.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q04
Opinion Scale

In the last 30 days, I saw people who share my background or identity represented in leadership and visible roles.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q05
Long Text

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
Dropdown

How long have you been with the organization?

  • Less than 6 months
  • 6–12 months
  • 1–2 years
  • 3–5 years
  • 6+ years
  • Prefer not to say
Q07
Message

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
Opinion Scale

In the last 30 days, I felt safe to speak up and share my ideas at work.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q09
Opinion Scale

In the last 30 days, I had fair access to growth and development opportunities.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q10
Opinion Scale

When I shared feedback in the last 30 days, I saw evidence that it was acknowledged or acted upon.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
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
Dropdown

Are you a people manager?

  • Yes
  • No
  • Prefer not to say
Q13
Opinion Scale

In the last 30 days, I felt a sense of belonging on my team.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q14
Dropdown

Which process felt least fair to you in the last 30 days, if any?

  • Hiring and selection
  • Pay and compensation
  • Performance reviews
  • Work assignments
  • Scheduling and flexibility
  • Access to tools or resources
  • None of these
  • Prefer not to say
Q15
Ranking

Rank the following areas by where you believe DEI effort should focus most next quarter (1 = highest priority).

  1. Hiring and recruitment practices
  2. Career development and promotion equity
  3. Inclusive team culture and daily interactions
  4. Leadership representation and visibility
  5. Pay equity and transparency
Drag to rank
Q16
Dropdown

What is your primary work arrangement?

  • On-site
  • Hybrid
  • Remote
  • Prefer not to say
Q17
Opinion Scale

In the last 30 days, my unique perspectives and contributions were valued by my colleagues.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q18
Dropdown

Which region do you primarily work in?

  • Americas
  • EMEA
  • APAC
  • Other
  • Prefer not to say
Q19
Multiple Choice

In the last 30 days, did you personally experience or witness any of the following at work? (Select all that apply)

  • Interruptions or being talked over
  • Insensitive language or jokes
  • Unequal access to information
  • Bias in decision-making
  • Social exclusion from discussions or events
  • None of the above

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.