Diversity and Inclusion Survey
We value your input to help us create a more inclusive environment. Please answer the following questions.
What is your age group?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender identity?
Female
Male
Non-binary
Prefer not to say
Other
Which racial or ethnic group do you identify with?
African American
Asian
Caucasian
Hispanic or Latino
Native American
Pacific Islander
Other
Prefer not to say
Do you feel your workplace promotes diversity and inclusion?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Please rate the inclusiveness of your workplace environment.
1
2
3
4
5
Have you experienced or witnessed discrimination at work?
Yes
No
Please share any additional comments or suggestions to improve diversity and inclusion.
Submit
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