Student Culture Survey Form
Student Culture Survey Form. Please share your background and campus-culture experiences to help us better understand and support our diverse campus community.
What is your primary cultural or ethnic identity?
Please Select
African or African American
Asian or Asian American
Hispanic or Latino/a/x
Native American or Indigenous
Middle Eastern or North African
White or European
Pacific Islander
Multiracial or Multiethnic
Other
Which languages do you speak fluently? (Select all that apply)
English
Spanish
Chinese (Mandarin/Cantonese)
Hindi/Urdu
Arabic
French
Other
How would you describe your sense of belonging on campus?
*
Not at all connected
1
2
3
4
Very connected
5
1 is Not at all connected, 5 is Very connected
How inclusive do you feel the campus environment is of diverse cultural backgrounds?
*
Not at all inclusive
1
2
3
4
Extremely inclusive
5
1 is Not at all inclusive, 5 is Extremely inclusive
Have you participated in any campus cultural organizations or events?
Yes
No
If yes, which types of organizations or events have you participated in?
Cultural student organizations
Festivals or cultural celebrations
Workshops or lectures
Community service
Other
Please rate your agreement with the following statements about campus culture.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel respected by students of different backgrounds
1
2
3
4
5
Faculty and staff value cultural diversity
6
7
8
9
10
There are enough opportunities to share my culture on campus
11
12
13
14
15
Have you ever experienced or witnessed cultural insensitivity or discrimination on campus?
Yes
No
Prefer not to say
What would help improve cultural understanding and inclusion on campus?
Any additional comments or suggestions?
Submit
Should be Empty: