Community Belonging & Engagement Assessment
Measures community members' participation frequency, sense of belonging, inclusion perceptions, and contribution readiness to inform engagement strategy and inclusion initiatives.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
In the past 3 months, how often did you attend community events or meetings (live or virtual)?
To what extent do you feel you belong in this community?
How likely are you to recommend this community to a friend or colleague?
Which of the following ways of contributing interest you for the next 3 months? Select all that apply.
- Mentoring or peer support
- Content creation (posts, docs, tutorials)
- Event organizing or facilitation
- Design, code, or technical work
- Research, testing, or surveys
- Welcoming and onboarding newcomers
- Fundraising or sponsorship outreach
- Advocacy or policy efforts
- Governance or committee roles
- None of the above
- Other (please specify)
Please rank the following improvement areas from highest to lowest priority for this community.
- Better onboarding and wayfinding
- Clearer, more timely communication
- More inclusive and accessible events
- More hands-on projects to join
- Recognition and appreciation programs
- Easier ways to share feedback
How long have you been involved with this community?
- Less than 3 months
- 3–12 months
- 1–3 years
- More than 3 years
Based on your responses in this survey, is there anything else you would like to share about your community experience?
In the past 3 months, how often did you post, comment, or share in community channels?
People in this community respect diverse backgrounds and perspectives.
What has been most valuable about this community for you in the past 3 months?
If you were to contribute in the next 3 months, approximately how many hours per month could you offer?
- Less than 1 hour
- 1–3 hours
- 4–8 hours
- 9–16 hours
- More than 16 hours
- Not sure
We'd like to explore your ideas for improving this community in a bit more depth. An AI moderator will ask you 1–2 brief follow-up questions based on your responses.
Which of the following best describe your role(s) in this community? Select all that apply.
- Newcomer or learner
- Active participant
- Contributor or volunteer
- Organizer or facilitator
- Maintainer or core member
- Supporter or sponsor
- Observer
- Other
- Prefer not to say
Thank you for completing this survey—your feedback is valuable and will help us build a stronger, more inclusive community. You may now close this window.
In the past 3 months, how often did you collaborate with others on a community project or task?
I feel comfortable expressing my opinions in this community without fear of judgment.
Please rank the following types of support from most to least helpful for enabling your contribution.
- Clear guidance on next steps
- Small, well-scoped tasks
- Mentorship or peer support
- Training or how-to documentation
- Flexible scheduling or async options
- Tools or access (software, workspace)
- Childcare, travel, or financial support
- Recognition and feedback
What is your age?
- Under 18
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Approximately how many community events did you attend in the past 3 months?
- 0
- 1–2
- 3–5
- 6–10
- More than 10
Community leaders and organizers actively work to make this community inclusive.
What is your most preferred channel for receiving community updates?
- Email newsletter
- Community forum
- Slack or Discord
- Social media group
- Project management board
- SMS or text messages
- Other
What is your primary region?
- North America
- Latin America
- Europe
- Africa
- Middle East
- South Asia
- East Asia
- Southeast Asia
- Oceania
- Prefer not to say
Overall, how engaged did you feel with this community in the past 3 months?
What, if anything, makes it harder for you to participate in this community? Select all that apply.
- Limited time or competing priorities
- Scheduling or time zone conflicts
- Caregiving responsibilities
- Internet or technology constraints
- Language or communication barriers
- Unclear where to start
- Not seeing enough personal value
- Financial costs
- Transportation or location issues
- Accessibility needs not met
- Feeling unwelcome or excluded
- Nothing — I don't experience barriers
- Other (please specify)
What is your gender?
- Woman
- Man
- Nonbinary
- Another identity
- Prefer not to say
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
- Combines closed-ended belonging, inclusion, and participation-frequency scales with an AI follow-up interview that probes open-ended improvement ideas in real depth rather than a single static text box
- Includes structured ranking questions for prioritizing support types and improvement areas, giving weighted comparative data rather than just averages
- Captures both current engagement (events, posts, collaboration) and forward-looking contribution readiness (channels, hours, interest areas) in one flow
- Automated per-response quality scoring and an auto-generated report mean the open-text and interview answers get analyzed consistently, not just collected
Jotform
Community Engagement Survey Form TemplateA static, form-builder based template aimed at general community engagement tracking, easy to customize with Jotform's drag-and-drop editor and widgets. It's a fielding-ready form but relies entirely on fixed question sets with no adaptive follow-up. Good for quick deployment, less suited to deeper qualitative insight into belonging or inclusion specifically.
What it does well
- Easy drag-and-drop customization within Jotform's ecosystem
- Wide library of integrations (payments, notifications, storage) typical of Jotform forms
- Fielding-ready out of the box for basic engagement tracking
Where it falls short
- No adaptive AI follow-up or voice interview capability — every respondent sees the same fixed questions
- No published methodology or prompt transparency for how responses are scored or interpreted
- Likely lacks built-in ranking/prioritization question types tailored to belonging and inclusion initiatives
SurveyMonkey
Belonging And Inclusion Survey TemplateA purpose-built belonging and inclusion survey template with SurveyMonkey's standard scale and multiple-choice question types, backed by their benchmarking and analytics tools. It closely matches the topic but is a static questionnaire without conversational depth. Strong for quantitative benchmarking, weaker for capturing nuanced qualitative reasoning behind scores.
What it does well
- Directly on-topic for belonging and inclusion measurement
- Access to SurveyMonkey's broader benchmarking and analytics ecosystem
- Established, well-tested question library for DEI-style surveys
Where it falls short
- No adaptive AI-driven follow-up interview to explore the 'why' behind belonging or inclusion scores
- No voice AI interview or guided screen-share task options
- No transparent, per-response scoring methodology published for open-ended answers
Typeform
Online Community Needs Assessment Survey TemplateA conversational-style Typeform template focused on identifying community needs, using Typeform's signature one-question-at-a-time UI for a smoother respondent experience. It's fielding-ready and pleasant to complete, but still a fixed-question flow rather than an adaptive interview. Coverage of belonging/inclusion specifics is likely thinner than needs-assessment content.
What it does well
- Polished, conversational one-question-at-a-time interface
- Fielding-ready template usable immediately within Typeform
- Good visual/UX design typical of Typeform forms
Where it falls short
- No adaptive AI follow-up or voice interview — question flow is fixed regardless of answers
- No automated per-response quality scoring or auto-generated inclusion/belonging report
- Focused on general needs assessment rather than combined belonging, inclusion, and contribution-readiness metrics
Frequently asked questions
What questions are in the “Community Belonging & Engagement Assessment” template?
The template includes 26 ready-to-use questions, starting with: “Welcome to the Community Belonging & Engagement Assessment. This survey asks about your experiences in this community ov…” · “In the past 3 months, how often did you attend community events or meetings (live or virtual)?” · “To what extent do you feel you belong in this community?”. The full set is previewed above, and every question is editable.
How long does this survey take to complete?
Respondents typically finish the 26 questions in about 11 minutes.
Can I customize this template?
Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.
Is this template free to use?
Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your 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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