Campus Diversity Survey Template

Thank you for participating in our Campus Diversity Survey. Your feedback is valuable in promoting inclusivity and diversity on campus.

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*What is your gender?
Male
Female
Non-binary
Prefer not to say
*What is your race/ethnicity?
White
Black or African American
Hispanic or Latino
Asian or Pacific Islander
Native American or Alaska Native
Two or more races
Other
Prefer not to say
*How comfortable do you feel interacting with people from different racial/ethnic backgrounds?
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
*How often do you feel that your campus celebrates diversity?
Always
Most of the time
Sometimes
Rarely
Never
*Have you experienced or witnessed any incidents of discrimination or bias on campus?
Yes
No
*How well do you feel that your campus supports and accommodates individuals with disabilities?
Very well
Somewhat well
Neutral
Somewhat poorly
Very poorly
*How well do you feel that your campus supports and accommodates individuals from different socioeconomic backgrounds?
Very well
Somewhat well
Neutral
Somewhat poorly
Very poorly
*How important do you feel it is for your campus to promote diversity and inclusivity?
Very important
Somewhat important
Neutral
Somewhat unimportant
Very unimportant
*How would you rate your overall satisfaction with the diversity and inclusivity on your campus?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
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