Inclusive Insurance CEO Survey Form
Inclusive Insurance CEO Survey Form
Company Name
*
Your Region
*
Please Select
North America
Europe
Asia-Pacific
Africa
Latin America
Middle East
Other
Company Size (number of employees)
*
1-49
50-249
250-999
1,000-4,999
5,000+
Which types of inclusion are current priorities for your company? (Select all that apply)
*
Gender inclusion
Disability inclusion
Socioeconomic inclusion
Age inclusion
Ethnic/racial inclusion
LGBTQ+ inclusion
Other
How would you rate your company’s current inclusion practices?
*
1
2
3
4
5
What are the top three challenges your company faces in advancing inclusion?
*
Lack of resources
Leadership buy-in
Measurement difficulties
Regulatory barriers
Cultural resistance
Limited best practices
Other
Which inclusion practices has your company implemented?
*
Diversity & inclusion training
Inclusive product design
Employee resource groups
Community engagement
Supplier diversity
Inclusive recruitment
Other
Please indicate your level of agreement with the following statements about inclusion at your company.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Inclusion is a core value
1
2
3
4
5
Inclusion is reflected in leadership
6
7
8
9
10
Inclusion is measured and tracked
11
12
13
14
15
Inclusion impacts business outcomes
16
17
18
19
20
What is your company's top inclusion goal for the next 12 months?
*
What support or resources would help you advance inclusion at your company?
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