Freedom of Speech Survey Form
Share your views on freedom of speech, expression, and the environments where speaking openly feels easier or harder. All questions use a clean, modern survey layout.
Survey Respondent Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Organization / Affiliation or Community Context
Freedom of Speech Survey Questions
Primary concern or topic related to freedom of speech
*
Please Select
Online speech
Workplace speech
Campus speech
Public protest
Media moderation
Government policy
Other relevant topic
Current comfort level expressing your opinions
*
Very uncomfortable
1
2
3
4
5
6
7
8
9
Very comfortable
10
1 is Very uncomfortable, 10 is Very comfortable
Perceived importance of free expression
*
1
2
3
4
5
Perceived risk of speaking openly in your environment
*
1
2
3
4
5
Have you self-censored in the past 12 months?
*
Yes
No
Perception of free speech across contexts
*
Rows
Very restricted
Somewhat restricted
Neutral
Somewhat free
Very free
Social media
1
2
3
4
5
Workplace
6
7
8
9
10
School or campus
11
12
13
14
15
Public spaces
16
17
18
19
20
Open Feedback and Follow-up
Describe the biggest challenge related to freedom of speech
*
Suggestions for improving free expression or dialogue
*
Additional comments
Preferred follow-up contact
Email
No follow-up
Submit Survey
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