Sample Diversity and Inclusion questions for staff
What is your gender identity?
Woman
Man
Genderqueer or non-binary
Agender
Other, please specify
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How would you define your racial or ethnic identity? You can state multiple identities or can be unsure?
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What languages do you speak?
Albanian
Amharic
Arabic
Assyrian
Bengali
Bosnian
Bulgarian
Burmese
Cantonese
Chaldean
Croatian
Czech
Danish
Dari
Dinka
Dutch
English
Farsi
French
German
Greek
Hindi
Hungarian
Italian
Japanese
Karen
Khmer
Korean
Lativian
Lithuanian
Macedonian
Mandarin
Malay
Maltese
Nepali
Norwegian
Oromo
Pashto
Polish
Portugese
Punjabi
Romanian
Russian
Serbian
Slovak
Somali
Spanish
Tagalog
Tamil
Tetum
Thai
Tigrinya
Turkish
Ukranian
Vietnamese
Yiddish
Other
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Choose the position/level that most closely aligns with your role?
Executive level
Management level
Team leader
Administration support
Direct care services
Human Resources
Finance and Procurement
Other
How long have you worked at your organisation?
Less than one year
1-2 years
2- years
More than 6 years
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Employees from diverse backgrounds are encouraged to apply for higher positions
Strongly Disagree
Disagree
Neither agree or disagree
Agree
Strongly agree
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My job performance is evaluated fairly
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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In my organisation, I feel like I can be successful as my authenic self
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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In my organisation, I feel like I belong because I am
Recognised for my accomplishments
Feeling that contributions in team meetings are valued
Feeling comfortable with being myself at work
All of the above
None of the above
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I can voice a contrary opinion without fear of negative consequences
Strongly agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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When I speak up at work, my opinion is valued
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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I feel like I am the "other one"
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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My organisation enables me to balance my work and personal life
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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There is a career development path for all employees in this organisation
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
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