Measure Your Workplace DEI Climate Effectively

Collect anonymous employee feedback on diversity, equity, and inclusion with this comprehensive DEI climate survey template for organizations.

השתמשו בתבנית בחינם תצוגה מקדימה

Espresso ערכת עיצוב

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Workplace Diversity, Equity & Inclusion Climate Survey

Department

Tenure at This Organization

Role Level

שליחה

The Workplace Diversity, Equity & Inclusion Climate Survey template helps HR leaders, DEI officers, and organizational leaders gather candid, anonymous employee feedback on belonging, fairness, and inclusion across all levels of the organization. It covers key dimensions including demographic background, personal identity, bias experiences, and perceptions of equitable opportunity.

Designed for companies of all sizes, this template surfaces critical trends across departments, tenure groups, and role levels — enabling data-driven decisions rather than guesswork. Questions assess everything from manager inclusivity and psychological safety to hiring fairness and employees' willingness to recommend the organization as an inclusive workplace.

Built with anonymity and trust in mind, this form ensures respondents feel safe sharing honest experiences. Use the collected insights to benchmark your current DEI climate, identify gaps, prioritize focus areas, and track progress over time — all with a ready-to-use form you can deploy in minutes.

3 עמודים

18 שאלות

~6min זמן מילוי

חינם כלול בכל התוכניות

סוגי שדות סולם ליקרט ×6 רשימה נפתחת ×3 בחירה יחידה ×3 טקסט ארוך ×3 בחירה מרובה ranking ציון NPS

השאלות בתבנית

תבנית חינמית

אלה השאלות שכלולות בתבנית — אפשר להתאים כל אחת מהן לצרכים שלכם.

עמוד 1 About You 5 שאלות

Demographics & Background

Your responses are completely anonymous. Demographic information is used only to identify trends across groups and will never be used to identify individuals.

1 Department * רשימה נפתחת

2 Tenure at This Organization * רשימה נפתחת

3 Role Level * רשימה נפתחת

4 Do you identify as a member of an underrepresented or marginalized group? בחירה יחידה

5 Which dimensions of diversity are most relevant to your personal identity? (Select all that apply) בחירה מרובה

עמוד 2 Perceptions of DEI Climate 8 שאלות

Your Experience with Diversity, Equity & Inclusion

Please rate your level of agreement with each statement based on your day-to-day experience at this organization.

1 I feel I belong and am valued as a member of this organization * סולם ליקרט

2 People of all backgrounds have equal opportunities for advancement here * סולם ליקרט

3 My manager actively fosters an inclusive team environment * סולם ליקרט

4 I can express my authentic self at work without fear of negative consequences * סולם ליקרט

5 The organization takes meaningful action on DEI, beyond surface-level statements * סולם ליקרט

6 Hiring and recruitment practices here are fair and unbiased * סולם ליקרט

7 Have you personally witnessed or experienced discrimination, bias, or microaggressions at this organization in the past 12 months? * בחירה יחידה

8 If you experienced or witnessed an incident, did you feel comfortable reporting it? בחירה יחידה

עמוד 3 Open Feedback & Priorities 5 שאלות

Your Voice Matters

1 Please rank the following DEI focus areas by importance to you * ranking

2 How likely are you to recommend this organization as an inclusive place to work? * ציון NPS

3 What is one thing this organization does well regarding diversity, equity, and inclusion? טקסט ארוך

4 What is one change that would most improve the DEI climate here? טקסט ארוך

5 Is there anything else you would like leadership to know about your experience? טקסט ארוך

איך משתמשים בתבנית

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