Workplace Belonging, Inclusion & Psychological Safety Assessment

Welcome to the Workplace Belonging & Inclusion Survey. This survey is designed to understand your experiences with belonging, inclusion, and psychological safety at work. Your responses are completely confidential and will be reported only in aggregate — no individual answers will be shared with managers or leadership. There are no right or wrong answers; we are interested in your honest opinions. Participation is voluntary and you may stop at any time. The survey takes approximately 6–8 minutes to complete. By proceeding, you indicate your consent to participate.

How comfortable do you feel being yourself in your day-to-day work environment?

Which aspects of the work environment most support your sense of belonging? (Select all that apply)

• Open communication
• Team collaboration
• Flexible work arrangements
• Diversity and inclusion initiatives
• Professional development opportunities
• Supportive management
• Employee resource groups
• Other (please specify)

Overall, how inclusive do you find your workplace?

I feel like I truly belong at this organization.

How often do you feel your unique perspectives and contributions are valued by your team?

How often do you feel you can participate fully in team decisions and discussions?

How often do you witness or experience exclusionary behavior in your workplace?

I feel safe to express a dissenting opinion at work without fear of negative consequences.

If I make a mistake at work, it is held against me.

I feel comfortable asking for help from my colleagues or manager when I need it.

To what extent do you feel you have equal access to professional development and growth opportunities compared to your colleagues?

Which of the following changes would most improve your sense of belonging at work? (Select all that apply)

• More team connection and social opportunities
• Clearer and more transparent communication from leadership
• Recognition and appreciation programs
• Mentorship and sponsorship opportunities
• Greater representation in leadership
• More inclusive meeting practices
• Bias and inclusion training
• Other (please specify)

Based on your responses throughout this survey, please share any additional thoughts or feelings about belonging and inclusion at this company.

Thank you for your responses so far. I'd like to explore your experiences with belonging and inclusion in a bit more depth. Could you describe a specific situation at work where you either felt strongly included or felt excluded?

The following questions help us understand experiences across different groups. All responses are reported in aggregate only.

Which department do you primarily work in?

• Engineering
• Product
• Sales
• Marketing
• Operations
• Human Resources
• Finance
• Customer Support
• Other
• Prefer not to say

How long have you worked at the company?

• Less than 6 months
• 6–12 months
• 1–3 years
• 3–5 years
• More than 5 years
• Prefer not to say

What is your current work arrangement?

• On-site
• Hybrid
• Remote
• Other
• Prefer not to say

Are you a people manager?

• Yes
• No
• Prefer not to say

Thank you for completing this survey. Your honest feedback is essential to building a more inclusive workplace. Results will be reviewed in aggregate and shared with leadership to inform action planning. If you have concerns you'd like to discuss directly, please contact your HR representative.