Government Workforce Diversity Employment Analysis
Help us better understand and improve workforce diversity and inclusion within our organization by completing this confidential analysis form.
Full Name
*
First Name
Last Name
Department
*
Please Select
Administration
Finance
Human Resources
Operations
IT
Legal
Other
Position/Title
*
Years of Service
*
Age Group
*
Under 25
25-34
35-44
45-54
55-64
65 or older
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Ethnicity/Race
*
White
Black or African American
Hispanic or Latino
Asian
Native American or Alaska Native
Native Hawaiian or Pacific Islander
Other
Do you identify as a person with a disability?
*
Yes
No
Prefer not to say
Do you identify as a veteran?
*
Yes
No
Prefer not to say
Please indicate your level of agreement with the following statements regarding diversity and inclusion in your workplace.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel valued and respected in my workplace.
1
2
3
4
5
My workplace promotes an inclusive environment.
6
7
8
9
10
There are equal opportunities for advancement regardless of background.
11
12
13
14
15
Diversity is valued in this organization.
16
17
18
19
20
Please share any additional comments or suggestions on diversity and inclusion in your workplace.
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