Diversity and Inclusion Survey Feedback Form
We value your feedback to help us improve our diversity and inclusion efforts.
Full Name (Optional)
First Name
Last Name
Email Address (Optional)
example@example.com
How inclusive do you feel our workplace is?
1
1
2
3
4
Best
5
1 is , 5 is Best
Which of the following diversity dimensions do you identify with? (Select all that apply)
How effective do you think our diversity and inclusion initiatives are?
1
2
3
4
5
What suggestions do you have to improve diversity and inclusion in our workplace?
Submit
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