E&D survey for BAS Template Form Template

How long have you been a member of Amnesty?

This is my first year This is my second year

Do you feel that (group name) has a strong atmosphere of equality and inclusiveness?

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree

What do you think contributes to this?

Do you feel that the membership of (group name) is diverse?

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree

Do you feel (group name) is doing all that it can to have a diverse membership?

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree

What steps do you think (group name) has taken to do this?

Do you have any suggestions of further actions they could take?

Have you ever witnessed or experienced harassment or discrimination in (group name)?

Yes No Not sure

Do you feel (group name) did all that they could to resolve this problem?

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree

Do you feel there is more that (group name) could do to combat discrimination?

Do you feel that (group name) listens to its members and makes changes in response to their views?

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree

Are there any other comments you would like to make about the equality and diversity of (group name)?