DEI Initiatives Interest Survey
Help us understand your interests and perspectives on Diversity, Equity, and Inclusion initiatives.
Full Name
*
First Name
Last Name
Department/Team
*
Email Address
*
example@example.com
How familiar are you with DEI (Diversity, Equity, and Inclusion) concepts?
*
Very familiar
Somewhat familiar
Not very familiar
Not familiar at all
Which DEI topics are you most interested in? (Select all that apply)
*
Unconscious Bias
Inclusive Leadership
Cultural Awareness
Gender Equity
LGBTQ+ Inclusion
Disability Inclusion
Other
Please rate your level of interest in participating in the following DEI initiatives.
*
Rows
Not Interested
Somewhat Interested
Very Interested
Workshops & Training
1
2
3
Employee Resource Groups
4
5
6
Mentorship Programs
7
8
9
Volunteer Opportunities
10
11
12
DEI Committees
13
14
15
How effective do you think our current DEI efforts are?
*
1
2
3
4
5
What barriers do you see to participating in DEI initiatives? (Select all that apply)
Lack of time
Lack of information
Not relevant to my role
Prefer not to say
Other
Would you be interested in leading or organizing a DEI initiative?
Yes
Maybe
No
Please share any other suggestions or comments regarding DEI at our organization.
I would like to receive updates about future DEI initiatives.
Yes
No
Submit Survey
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