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DEI Survey Template: Survey Questions About Diversity

Eleven statements about how work goes, one open box and five optional identity questions. Try it here first.

17questions
About 5 minto complete
5optional identity questions
11required statements

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DEI Survey · answer to move through it

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Question 1 of 17 Respect day to day

I am treated with the same respect as everyone else on my team.

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Strongly disagreeStrongly agree

Question 2 of 17 Respect day to day

I can be myself at work here.

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Strongly disagreeStrongly agree

Question 3 of 17 Respect day to day

In meetings, what I say gets the same attention as what anyone else says.

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Strongly disagreeStrongly agree

Question 4 of 17 Getting on

Interesting work is shared out fairly here.

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Strongly disagreeStrongly agree

Question 5 of 17 Getting on

I can see people like me in senior roles here.

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Strongly disagreeStrongly agree

Question 6 of 17 Getting on

My manager backs my development as much as anyone else on the team.

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Strongly disagreeStrongly agree

Question 7 of 17 When something goes wrong

I know how to report unfair treatment here.

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Strongly disagreeStrongly agree

Question 8 of 17 When something goes wrong

I would report unfair treatment here without worrying what it would cost me.

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Strongly disagreeStrongly agree

Question 9 of 17 When something goes wrong

I trust this organization to act when unfair treatment is reported.

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Strongly disagreeStrongly agree

Question 10 of 17 What is said and what is done

If I needed an adjustment to do my job, I could ask for one here.

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Strongly disagreeStrongly agree

Question 11 of 17 What is said and what is done

What this organization says about fair treatment matches what I see day to day.

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Strongly disagreeStrongly agree

Question 12 of 17 In your words

What is one thing that would make it easier to be yourself at work here?

Question 13 of 17 Optional: about you

What is your race and/or ethnicity? Select all that apply.

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Prefer not to say

Question 14 of 17 Optional: about you

If you would rather describe your race or ethnicity in your own words, write it here.

Question 15 of 17 Optional: about you

Is the gender you identify with the same as your sex registered at birth?

Yes

No

Prefer not to say

Question 16 of 17 Optional: about you

Which of the options below best describes how you think of yourself?

Heterosexual or Straight

Gay or Lesbian

Bisexual

Self-describe

Prefer not to say

Question 17 of 17 Optional: about you

Do you consider yourself to have a disability or a long-term health condition?

Yes

No

Prefer not to say

The 17 DEI survey questions

A DEI survey asks employees whether working here is the same for everyone. This one has eleven statements about respect, fair chances, reporting problems and follow-through, one open box, and five optional questions about who is answering, so you can read every result by group instead of as one company average. All seventeen open ready to edit in the questionnaire creator.

Plain text, one question per line, with the answer scale.

Respect day to day (3 questions)

Read these split by group; as a company average they hide the gap.

I am treated with the same respect as everyone else on my team.5-point agree
I can be myself at work here.5-point agreeRead beside question 1: respect and being yourself differ.
In meetings, what I say gets the same attention as what anyone else says.5-point agree

Getting on (3 questions)

Fair treatment in who gets the interesting work and who moves up.

Interesting work is shared out fairly here.5-point agree
I can see people like me in senior roles here.5-point agreeThe one item you can check against your org chart.
My manager backs my development as much as anyone else on the team.5-point agree

When something goes wrong (3 questions)

In order: know the route, would use it, trust it to work.

I know how to report unfair treatment here.5-point agree
I would report unfair treatment here without worrying what it would cost me.5-point agree
I trust this organization to act when unfair treatment is reported.5-point agree

What is said and what is done (2 questions)

The stated position against what people see.

If I needed an adjustment to do my job, I could ask for one here.5-point agree
What this organization says about fair treatment matches what I see day to day.5-point agree

In your words (1 question)

One open box before the identity block.

What is one thing that would make it easier to be yourself at work here?Open text, optionalTheme these before anyone else reads them.

The identity block (5 optional questions)

Every one can be skipped; the choice questions print a prefer-not-to-say option.[6] Three use published national wording; swap it for your own country's before you send.

What is your race and/or ethnicity? Select all that apply.Select all that apply, optional US SPD 15, 2024 revisionOne combined question, seven minimum categories, select one or several.[1][2]
If you would rather describe your race or ethnicity in your own words, write it here.Open text, optionalA write-in anyone can use, whatever they ticked above.
Is the gender you identify with the same as your sex registered at birth?Yes / No / Prefer not to say, optional UK GSS gender identity standardAsks about gender identity, for ages 16 and over.[4]
Which of the options below best describes how you think of yourself?Single choice, optional UK GSS sexual identity standardSelf-completion wording; self-describe replaces the standard's "Other".[5]
Do you consider yourself to have a disability or a long-term health condition?Yes / No / Prefer not to say, optional Written for this template

Question 13 for UK respondents: the ethnic group list

What is your ethnic group?
Choose one option that best describes your ethnic group or background.

White
   English/Welsh/Scottish/Northern Irish/British
   Irish
   Gypsy or Irish Traveller
   Any other White background

Mixed/Multiple ethnic groups
   White and Black Caribbean
   White and Black African
   White and Asian
   Any other Mixed/Multiple ethnic background

Asian/Asian British
   Indian
   Pakistani
   Bangladeshi
   Chinese
   Any other Asian background

Black/African/Caribbean/Black British
   African
   Caribbean
   Any other Black/African/Caribbean background

Other ethnic group
   Arab
   Any other ethnic group

Prefer not to say (added here; not part of the standard)

Source: Ethnicity harmonised standard, GSS Harmonisation Team, Government Analysis Function. England and Wales version.

How to use the DEI survey

Send it to everyone at once. In one line above the identity questions, say who opens the responses and what you will publish. The eleven statements are required; the open box and all five identity questions can be skipped.

Read the split before the average: cut the eleven statements by one identity question, then by a second. Set your smallest reportable group before you send, because it decides what you can show. The employee feedback survey goes further into anonymity for small teams.

If the gap is in how work gets done, try the company culture survey. If it is about money, try the pay equity survey. If the question is engagement rather than fairness, use the employee engagement survey.

Age and other demographics are covered in demographic questions and answer options.

A DEI survey in two blocks: twelve experience questions in four groups above a separate optional five-question identity block, and one whole-company result splitting into five groups of very unequal size — The identity block turns one average into a comparison.

DEI survey FAQ

Do employees have to answer the identity questions?

No. The State of Missouri toolkit says self-identification should not be mandatory to complete the survey, and an option not to self-identify should always be offered.[6] All five identity questions here are optional.

Which race and ethnicity categories should I use?

Use the list published for your own country. The US standard has seven minimum categories and lets people select several;[1][2] the UK standard has five headings and one choice, with Arab under Other ethnic group.[3] The UK list is copyable above.

How small a group is too small to report on?

Decide before you send, counting from your smallest identity category rather than your headcount. If a group is too small to show on its own, combine it with a related group or leave it out of the results.

Michael Hodge, survey methodology · Updated 29 September 2026 · How templates are reviewed

Ethnic group, gender identity and sexual identity questions: Government Analysis Function, GSS Harmonisation Team. Contains public sector information licensed under the Open Government Licence v3.0.

Sources (6)

US Office of Management and Budget. 2024 SPD 15 revision: revisions to OMB Statistical Policy Directive No. 15. spd15revision.gov
US Office of Management and Budget. SPD 15: question format. spd15revision.gov
Government Analysis Function, GSS Harmonisation Team. Ethnicity harmonised standard. analysisfunction.civilservice.gov.uk
Government Analysis Function, GSS Harmonisation Team. Gender identity data harmonisation guidance. analysisfunction.civilservice.gov.uk
Government Analysis Function, GSS Harmonisation Team. Sexual orientation harmonised standard. analysisfunction.civilservice.gov.uk
State of Missouri, Office of Equal Opportunity. Diversity and inclusion survey toolkit, January 2022. oeo.mo.gov

Get a DEI survey out

Seventeen questions, about five minutes, and every identity question optional. Open it in the editor and swap the categories for your own country before it goes out.

Use this template