Racism in the Workplace: Employee Check-In Survey

Thanks for taking a few minutes for this check-in. We're asking about experiences with racism and racial bias at work so we can address gaps honestly. Your responses are confidential and you can skip anything you'd rather not answer. About 6 minutes.

In the last 6 months, have you personally experienced or witnessed racism or racial bias at work?

• Yes, I personally experienced it
• Yes, I witnessed it happen to someone else
• Both experienced and witnessed
• No
• Prefer not to say

How safe do you feel raising a concern about racism or racial bias with your manager or HR?

How much do you agree with each statement about how our company handles racism and inclusion?

In the last 6 months, which of these have you personally experienced at work? Select all that apply.

• Being excluded from meetings, projects, or decisions
• Racial jokes, stereotypes, or slurs directed at me or in my presence
• Being mistaken for another colleague of the same race
• Assumptions about my competence or role based on my race
• Being passed over for opportunities I believe were race-related

Which of these actions should our company prioritize to address racism and improve inclusion?

• Mandatory training on bias and inclusive behavior
• A clear, confidential process for reporting incidents
• Diverse representation on hiring panels
• Managers held accountable for addressing racist behavior
• Active employee resource groups for underrepresented employees
• Transparent, published promotion criteria
• Visible commitment from senior leadership

How likely are you to recommend this company as an inclusive place to work to a friend from an underrepresented racial or ethnic background?

Explore the reasoning behind the respondent's safety rating and any racism-related experiences they reported. If they rated safety low (1-2) or selected an experience above, probe what specifically happened, whether they reported it, why or why not, and what response (if any) came from their manager or HR. If they rated safety high, ask what concretely makes them feel supported. If they said they witnessed but did not experience racism, ask what stopped them from intervening or reporting it.

Is there anything else about race, racism, or inclusion at work you'd like us to know? (Optional)

How would you describe your race or ethnicity? (Optional — used only to identify patterns across groups)

• American Indian or Alaska Native
• Asian
• Black or African American
• Hispanic or Latino
• Native Hawaiian or Other Pacific Islander
• White
• Multiracial or biracial
• Another race or ethnicity not listed
• Prefer not to say

How long have you worked at the company?

• Less than 6 months
• 6 months to 1 year
• 1 to 3 years
• 3 to 5 years
• 5+ years
• Prefer not to say

What department or team are you part of? (Optional)

Thank you for your honesty. Responses are reviewed in aggregate by HR and leadership to identify patterns and shape concrete action — individual answers are never shared with your manager.