Employee Feelings of Inclusion in the Workplace
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Q1. What gender do you identify as? (single choice)
Q2. What is your preferred pronoun? (Text)
Q3. What is your sexuality? (Text)
Q4. Do you consider yourself to be disabled? (single choice)
Q5. If yes, what is your disability? (Text)
Q6. What is your ethnicity? (Text)
Q7. Do you feel that people listen to your ideas? (single choice)
Q8. Do you actively listen when colleagues are talking to you? I.e. ask questions, don’t interrupt, repeat back key phrases. (single choice)
| Never | Sometimes | Not sure | Most of the time | All of the time |
Q9. Do you feel that people actively listen to you? (single choice)
Q10. Do you speak your mind at work? (single choice)
Q11. Do you always receive credit for your ideas? (single choice)
Q12. In the past year, have you experienced someone else taking credit for one of your ideas? (single choice)
Q13. I feel like I can be my authentic self at work. (single choice)
Q14. I feel that I have to hide parts of who I am at work. (single choice)
Q15. Do you have a mentor at work? (single choice)
Q16. Do you have a role model at work? (single choice)
Q17. Do you think the management at your company represents you well? (single choice)
Q18. Do you take part in team events? (single choice)
Q19. Do you enjoy attending team events? (single choice)
Q20. Why do/don’t you enjoy attending team events? (Text)
Q21. Do you feel part of a community at work? (single choice)
Q22. To what degree would you describe your workplace as a community? (single choice)
Q23. Do you have a network of contacts who can help you when you need it? (single choice)
Q24. If yes, roughly how many people are in your network? (single choice)
Q25. Have you applied for a promotion in the past year?
Yes
No
Q26. Are you told about all of the opportunities for promotion that you can apply for? (single choice)
Q27. Do you feel encouraged to apply for promotions? (single choice)
Q28. Do you feel that you have the same access to promotions as your colleagues? (single choice)
Q29. I have set professional development goals. (single choice)
Q30. I know how to achieve these goals. (single choice)
Q31. I have access to resources which can help me achieve these goals. (single choice)
Q32. I feel supported in my professional development. (single choice)
Q33. If you have a disability, are you able to access all of the facilities easily? (single choice)
Q34. Is your work space physically appropriate for you? (single choice)
Q35. Do you have any dietary requirements? (Text)
Q36. Do you feel that your dietary needs are catered for by the office cafe/canteen? (single choice)
Q37. What’s been happening? Share a relaxed anecdote, case study or recent success.
Q38. Date the activity actually happened
Q39. Location (Text)
Q40. Add attachments
Q41. Change update's privacy
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