HeySurvey survey

Cultural Competence Self-Assessment*

Please think about your comfort level when interacting with people who are different from you.

1

2

3

4

5

Not confident at all Extremely confident

Recognizing Cultural Differences*

Think about language, customs, holidays, and traditions.

Often
Sometimes
Rarely
Never

Inclusive Communication*

This includes adjusting your style or language so everyone feels included.

Always
Most of the time
Sometimes
Rarely
Never

Experiences with Bias*

We’re looking for your honest feedback to help us improve.

Yes, frequently
Yes, occasionally
No

Ways You Learn About Other Cultures

How do you usually learn about cultures different from your own? (Select all that apply)

Talking to people from other backgrounds
Reading books or articles
Watching movies or documentaries
Traveling
Attending cultural events or workshops
Other

Facing Cultural Challenges*

We’re interested in real stories that helped you grow.

Supporting Inclusion at Work or School*

Please base your answer on policies, events, or attitudes you’ve observed.

1

2

3

4

5

From Least to Most

Suggestions for Improvement

Your ideas will help shape future efforts.

Celebrating Diversity*

We’re curious about your personal opinion.

Extremely important
Very important
Somewhat important
Not very important
Not at all important

Additional Comments

Feel free to add any final thoughts.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.