HeySurvey survey

Inclusive Experience & Background Survey ✨

Which of the following best describes your role or relationship with us?*

This helps us understand responses across different groups.

Customer
Employee
Contractor/Freelancer
Partner/Vendor
Community member
Other

How included do you feel when interacting with us?*

Think about whether you feel welcomed, respected, and able to participate fully.

1

2

3

4

5

Not at all included to Very included

Which identity groups do you feel comfortable sharing?

Select all that apply. You may skip any option you do not want to answer.

Gender identity
Age group
Race or ethnicity
Disability status
Sexual orientation
Religious or spiritual identity
Caregiver/parent status
None of the above

What is your age group?

Choose the range that best fits you.

Under 18
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say

Which gender identity best describes you?

Please select the option that fits best for you.

Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say

Which racial or ethnic background(s) do you identify with?

Select all that apply if relevant to you.

Black or African descent
Asian
Hispanic or Latino/a/e
Middle Eastern or North African
Native American, Indigenous, or First Nations
Pacific Islander
White
Another background
Prefer not to say

Do you identify as a person with a disability, chronic condition, or accessibility need?

This includes visible and non-visible conditions.

Yes
No
Not sure
Prefer not to say

Have you experienced any barriers related to inclusion, accessibility, or belonging with us?

Share anything that may have affected your experience.

What is one thing we could do to make our environment more inclusive for people from different backgrounds?*

Your feedback will help us improve for everyone.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.