Q01
Message
All templates
Workplace Diversity and Inclusion Climate Survey
Measures how included, respected, and fairly treated employees feel across belonging, fairness, and access to opportunity, plus whether they've witnessed or experienced exclusionary behavior. Built for HR and DEI teams benchmarking climate over time. The AI follow-up interview reconstructs the specific moment behind a respondent's inclusion score instead of leaving it as just a number.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
14 questions · ~7 min
Q02
Opinion ScaleRequired
Overall, how included do you feel at your organization?
Scale: 0 – 10
Min:Not at all includedMax:Extremely included
Q03
MatrixRequired
How much do you agree with each statement about your day-to-day experience?
4 rows × 5 columns
- I can bring my authentic self to work without fear of judgment
- My manager treats people fairly regardless of their background
- I have the same access to growth and advancement opportunities as my peers
- Leaders here are held accountable for building an inclusive culture
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Multiple ChoiceRequired
In the last 12 months, have you personally experienced or witnessed behavior at work that made someone feel excluded or unfairly treated?
- Yes, I personally experienced it
- Yes, I witnessed it happen to someone else
- Yes, both
- No
- Prefer not to say
Q05
Multiple Choice
Which of the following have you personally used or benefited from in the last year?
- Mentorship or sponsorship program
- Employee resource group (ERG) or affinity network
- Flexible work arrangements
- Manager check-ins focused on inclusion
- Bias-awareness or inclusion training
Q06
Best–Worst Trade-off (MaxDiff)Required
Which of these initiatives do you think would do the most, and the least, to improve inclusion at your organization?
- Pay equity transparency
- Manager training on unconscious bias
- Flexible work and accommodation policies
- Employee resource groups and affinity networks
- Diverse interview panels for hiring
- Mentorship and sponsorship programs
- Clear, published criteria for promotion
Pick best & worst per setBest:Most improve inclusionWorst:Least improve inclusion
Q07
Opinion ScaleRequired
How confident are you that reporting a concern about unfair treatment or exclusion would be taken seriously here?
Scale: 1 – 5
Min:Not at all confidentMax:Extremely confident
Q08
AI Interview
Reconstruct the specific experience behind the respondent's inclusion score: ask for a concrete recent moment (positive or negative) that shaped how included they feel, who was involved, and what happened. If they said they experienced or witnessed exclusionary behavior, probe what occurred, whether it was addressed, and by whom. If their confidence in reporting concerns was low, ask what would need to change for them to trust the process. If they decline to share specifics, ask instead what one change would most improve how included they feel.
Q09
Message
Just a few optional questions about you — these help us see whether experiences differ across groups so we can act on real gaps, not averages.
Q10
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Q11
Multiple Choice
How do you describe your race or ethnicity? Select all that apply.
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic or Latino/a/x
- Middle Eastern or North African
- Native Hawaiian or Pacific Islander
- White
- Two or more races
- Prefer not to say
Q12
Multiple Choice
What is your age range?
- Under 25
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q13
Multiple Choice
How long have you worked at your organization?
- Less than 1 year
- 1-3 years
- 4-7 years
- 8-15 years
- More than 15 years
- Prefer not to say
Q14
Message
Thank you for your honesty. Responses are combined into an anonymized report the DEI and leadership teams use to prioritize concrete changes, not to identify individuals.
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 a single inclusion score with an AI follow-up interview that reconstructs the specific moment behind a respondent's rating, not just a number on a scale
- Combines structured measurement (opinion scale, matrix, max-diff on initiative priorities) with open-ended probing, so HR/DEI teams get both trend data and the 'why' behind it
- Includes a confidence-in-reporting question and an experienced/witnessed exclusion item, giving a fuller climate picture than belonging alone
- Transparent prompts and automated per-response quality scoring mean DEI teams can audit how the AI is interviewing respondents and trust the auto-generated report
QuestionPro
Diversity and Inclusion Survey QuestionnaireA fielding-ready questionnaire template from an established enterprise survey platform, covering standard D&I question areas. It's a fixed question set rather than an adaptive interview, so all respondents get the same static items regardless of their answers. Good for teams wanting a straightforward, customizable questionnaire without conversational AI.
What it does well
- Backed by a mature, enterprise-grade survey platform with broad question-type support
- Likely offers standard analytics/dashboards for benchmarking over time
- Easy to customize as a static questionnaire
Where it falls short
- No adaptive AI follow-up to probe the specific experience behind a low inclusion score
- No voice AI interview option mentioned
- No published methodology for how responses are scored for quality
Jotform
Questionnaire for Equity & Managing Diversity at workplace Form TemplateA form-builder template focused on equity and diversity management questions, well-suited for quick deployment via Jotform's drag-and-drop editor. It's a static form rather than a guided interview, so it collects answers without follow-up probing. Best for teams that just need a simple, editable intake form.
What it does well
- Simple drag-and-drop customization typical of Jotform
- Fast to deploy for basic data collection
- Integrates with Jotform's broader form ecosystem (e.g., payment/logic add-ons)
Where it falls short
- Static form fields only — no adaptive AI interview or voice option
- No mechanism to reconstruct the story behind a respondent's rating
- No automated quality scoring of individual responses
SurveySparrow
Workplace Diversity Questionnaire TemplateSurveySparrow's conversational, chat-style survey format makes this diversity questionnaire feel more engaging than a plain form, one question at a time. However, the conversational flow is still pre-scripted rather than AI-adaptive, so it can't generate follow-up questions based on an individual's specific answer. Suitable for teams wanting a friendlier UI without AI-driven probing.
What it does well
- Conversational, one-at-a-time UI likely improves completion rates
- Template covers standard workplace diversity question areas
- Part of a platform with broader survey distribution and reporting tools
Where it falls short
- Conversational UI is scripted, not adaptive — no AI-generated follow-up based on a respondent's specific answer
- No voice AI interview capability
- No transparent, publishable prompt methodology or per-response quality scoring
Typeform
Diversity and Inclusion Survey TemplateTypeform's template offers its signature clean, one-question-at-a-time design, which tends to feel more personal than a dense form. It remains a fixed set of questions, however, with branching logic at most, not true AI-generated follow-ups tailored to each response. A solid choice for a polished static survey, less suited if the goal is to capture the specific story behind each score.
What it does well
- Polished, well-known one-question-at-a-time interface
- Easy embedding and sharing, popular with HR teams
- Supports basic logic jumps for some personalization
Where it falls short
- No adaptive AI interview to reconstruct the moment behind an inclusion score
- No voice AI interview option
- No automated per-response quality scoring or transparent AI prompt documentation
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.