Workplace diversity and inclusion questionnaire template is a free template designed to help organizations evaluate inclusivity and collect employee perspectives on diversity, equity, and belonging. Use this questionnaire to benchmark current practices and inform strategic D&I efforts.

This template includes core fields such as full name and email, demographic items (ethnicity, gender), perception and experience questions (inclusive culture, witnessed discrimination), and open-ended prompts for suggested initiatives. Enable anonymous responses, conditional logic, and reports to analyze trends and segment by demographics.

Use cases include HR climate assessments, diversity committee reviews, pre- and post-training evaluations, and anonymous pulse surveys to surface barriers and opportunities. Responses help teams identify equity gaps, prioritize initiatives, and track progress over time. Ideal for HR, executives, and D&I officers needing evidence to support policy and training.

Click "Use This Template" to customize, deploy, and collect responses.