undefined
HomeAll templateseducation formsracism survey for students

Racism survey for students

Racism is a very sensitive topic, and it can be difficult to talk about with students. However, it is important to address racism in the classroom so that students can learn about the issue and its impact on society. This survey is designed to help you gauge your students' understanding of racism and its effects.

1 minute to complete

Eligibility

Only students who have been victims of racism are eligible to fill out the survey.

undefined

Questions for Racism survey for students

Questions

1.

How often do you feel uncomfortable or unwelcome because of your race or ethnicity?

The answer should be a single choice:
  1. Rarely
  2. Sometimes
  3. Very Often
2.

Have you ever been the target of racist comments or behaviour?

The answer should be a single choice:
  1. Yes
  2. No
3.

Do you feel like you have to hide your race or ethnicity to avoid discrimination?

The answer should be a single choice:
  1. Yes
  2. No
4.

Do you feel like you are treated differently because of your race or ethnicity?

The answer should be a single choice:
  1. Yes
  2. No
5.

Have you ever been afraid to speak up about racism or report it because you feared retaliation?

The answer should be a single choice:
  1. Yes
  2. No
6.

Do you feel like your race or ethnicity is used against you in decisions made about your education or career?

The answer should be a single choice:
  1. Yes
  2. No
7.

Have you ever been treated unfairly because of your race or ethnicity in the workplace?

The answer should be a single choice:
  1. Yes
  2. No
8.

Do you feel like you have to work harder than others to prove your worth because of your race or ethnicity?

The answer should be a single choice:
  1. Yes
  2. No
9.

Do you feel like you are constantly having to justify or explain your race or ethnicity?

The answer should be a single choice:
  1. Yes
  2. No

Surveys Similar to Racism survey for students

  • Sexism survey for students
  • Homophobia survey for students
  • Transphobia survey for students
  • Ableism survey for students

Here are some FAQs and additional information
on Racism survey for students

What is the purpose of the racism survey for students?

The survey is designed to collect data about students’ experiences with racism on campus. The data will be used to inform efforts to address racism at the university.

Who will conduct this racism survey?

The survey will be conducted by the university.

Who is required to take the survey?

All university students are required to take the survey.

How will the survey be used?

The data collected from the survey will be used to inform efforts to address racism at the university. The data may also be used for research purposes.

How long will the survey take to complete?

The survey should take approximately 5 minutes to complete.

Is the survey confidential?

Yes. The survey is confidential and your responses will not be linked to your name or any other sources.

Want to use this template?

Loved by people at home
and at work

undefined
“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
undefined
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Dapp.com
Editor's choice
BlockSurvey social proof
Capterra
4.9 Star Rating

What's next? Try out templates like
Racism survey for students

1000+ Templates, 50+ Categories

Explore more
undefined
Financial aid form
The financial aid form is used to provide information about a student's financial aid status. This form is used by the financial aid office to determine a student's need for financial assistance and determine the student's eligibility for aid.
undefined
Academic history form
The academic history form is used to track the academic progress of a student. It is typically used by school administrators and counselors to monitor a student's grades, test scores, and other academic indicators.
undefined
Student harassment report form
This form is to be used to report any type of harassment that a student feels he or she has experienced.
undefined
Soft skills evaluation form
This is a form that can be used to evaluate an individual's soft skills. This form can be used to identify areas where an individual may need improvement.
undefined
Simple course evaluation form
Simple course evaluation forms are very useful in getting feedback from students about the course. They help in assessing the quality of the course and also help in making improvements in the course.
undefined
COVID Consent Forms for Students
The COVID Consent Forms for Students are documents that must be completed by students in order to participate in activities related to the coronavirus pandemic. The forms request information about the student's health history and contact information, as well as consent for the school to share the student's information with health officials. The forms also include a section for the student to agree to follow health and safety guidelines related to the pandemic.
undefined
Online Teaching Evaluation form
The Online Teaching Evaluation Form is a tool that can be used by instructors to evaluate the quality of their online teaching. This form can be used to identify areas where improvement is needed and to provide feedback to instructors on their online teaching.
undefined
Trainee evaluation form
The Trainee evaluation form is a form that is used by companies to assess the performance of their employees. This form can be used to evaluate the employee's performance during their training period. This form can also be used to assess the employee's performance after they have completed their training.
undefined
Internship evaluation form
The internship evaluation form is a tool used by employers to gather feedback from interns about their experience during the internship. The form typically includes questions about the intern's job duties, supervisors, and the overall internship experience. Employers use the information gathered from the evaluation forms to improve their internship programs and make sure that they are providing interns with a positive and productive experience.
undefined
Workshop Evaluation Form
A workshop evaluation form is a tool used by workshop facilitators to gather feedback from participants. The form typically includes questions about the content of the workshop, the delivery of the workshop, and the overall experience of the workshop.
undefined
Student Evaluation Form
Student evaluation forms are used by professors and teachers to assess their students' progress and performance in class. The forms typically ask questions about the students' understanding of the material, their ability to apply what they have learned, and their overall attitude towards the class.
undefined
Course Evaluation Form
The Course Evaluation Form is a tool used by instructors to assess the quality of their course and their teaching. The form is completed by students at the end of the course and is used to provide feedback on the course content, the instructor's teaching, and the overall course experience.
undefined
Mentor Evaluation Form
The Mentor Evaluation Form is a tool that can be used by a mentee to provide feedback to a mentor about their mentoring relationship. The form includes questions about the mentor's ability to provide guidance, support, and advice, as well as questions about the overall quality of the mentoring relationship.
undefined
Racism survey for students
Racism is a very sensitive topic, and it can be difficult to talk about with students. However, it is important to address racism in the classroom so that students can learn about the issue and its impact on society. This survey is designed to help you gauge your students' understanding of racism and its effects.
undefined
Student bullying survey
This survey is designed to collect data about student bullying in schools. The survey usually includes questions about the frequency of bullying, the types of bullying that students have experienced, the students' perceptions of how bullying is handled by adults in their school, and the students' own responses to bullying. The survey is anonymous and takes about 5 minutes to complete.
undefined
High school bullying survey
A high school bullying survey is a survey which is conducted by the high school in order to know the students' perceptions of bullying. This survey also helps the high school to know the students' views about the anti-bullying policies of the school.
undefined
Daycare waitlist form
The Daycare Waitlist Form is used to track families that are interested in enrolling their child in a daycare program. This form includes contact information for the family, as well as the child's name and birthdate. The form also has a section for the family to indicate their preferred start date for the child's enrollment.
undefined
Learner Enrollment Survey Form
If you're planning to survey learners online concerning their experience, direction, and areas for improvements, then the Learner Enrollment Survey Form is a good start for you! This is to serve as your template. You'll need to customize it with your own questions to fit your specific situation.
undefined
Alumni Feedback form
An alumni feedback form can be used to collect data from your customers who have used your courses, allowing you to learn more about their experience with your content. It can be used to ask about how they are using the course material after they have left the institution.
undefined
Child Protection Survey at School for Parents
This is a questionnaire for the child protection and safegaurding inspection
undefined
Course enrollment form
Template for student course enrollment form
undefined
Computer Literacy Questionnaire for Teachers
The computer literacy questionnaire will help you judge whether you, as a teacher, are proficient enough to better instruct your students. The outcomes will help schools to determine programs to help teachers to get proficient in computers.
undefined
Teacher Student Teaching Inputs for Learning Engagement
Find out the teacher student engagement and feedback for making learning experiences better.
undefined
School Online Admission Form
This is a simple online admission form system developed for school use.
undefined
Teacher Evaluation Survey
The following survey is used to help evaluate my strengths and weaknesses as a teacher from a student's point of view. Your honest input will be treated with a sense of seriousness as I evaluate and improve my teaching
undefined
Student Success Survey
An assessment tool for monitoring learning outcomes, the Student Success Survey is a survey questionnaire that can be used to gather information about students' success. This online survey is a fantastic resource for students, scholars, and researchers alike, and it is completely free.
undefined
Post Training Effectiveness Evaluation Form
The Post Training Effectiveness Evaluation Form is a tool used by trainers to measure the effectiveness of their training programs. This form can be used to evaluate the effectiveness of training programs for both individual and group training.
undefined
Student Awareness of Personal Privacy and Cybersecurity
Social media has become a part of the daily routine of today's college students. The purpose of this study is to investigate student attitudes, awareness, and perceptions of personal privacy and cybersecurity in the use of social media.
undefined
Post workshop feedback
After the workshop, share this form to obtain feedback. Use the data collected to  to help the workshop evolve.
undefined
Training Feedback Form
Please rate the training by selecting one term for each statement below.
undefined
Computer Skills Quiz
This Computer Skills Quiz has 10 questions and will test your knowledge of computer vocabulary, concepts, terms and definitions. See which topics you know the most. The goal is to do this quiz as quickly as possible by studying a little bit each day. Use this template to build further.
undefined
College Class Research Survey
Helps to identify and understand how college classes are different from schools
undefined
Student Transportation Survey for Parents
The school year is about to begin, and parents will be asked to fill out a student transportation survey. We want to hear from you! Please take a few moments to respond to the following questions about your student's transportation options. The information will help to improve your child's safety, comfort, and experience. 
undefined
Deliverable Submission Form
Please submit your project deliverables in this form.
undefined
Virtual Training Survey Questions
Virtual training has many advantages over traditional training, but virtual attendees require a survey to determine how much they learned from the experience. To ensure that the value of virtual meetings is maximised, the survey items should be designed to reflect the training objectives.
undefined
Workshop Survey
Tell us what you think
undefined
Course completion feedback
Feedback collecton post course or coaching completion
undefined
Student Story Interest Survey
Share your interests so that we can help you out during your academic year.
undefined
Freshman Survey
The Freshman Survey is a free anonymous snapshot that you can use to measure your college readiness.
undefined
Parent Involvement Survey
A Parent Involvement Survey is designed to gather information from parents and guardians about what they want for their children. Students may also be given these surveys.It is critical that students are inspired to learn. Involving parents in their child's education is one of the most effective ways teachers can encourage this. However, as most teachers are aware, active participation at home with parental support is not always forthcoming. This survey will look at the various ways in which parents are involved in their children's education in each school district, as well as who is working together to increase parent involvement in their children's education.
undefined
The Inclusion of individuals with a disability in the education system
Questionnaire for students/adults WITHOUT a disability
undefined
Recycling quiz
Have you ever wondered if your recycling is being done correctly? I mean, who knows exactly how to sort each item in the blue bin. Usually, you just throw everything in there and call it a day. Well, not today. I’m here to give you the quick and easy quiz to take to see if you’re actually recycling properly. Let’s take this test together!
undefined
Seminar Feedback
Feedback form to circulate after seminar completion
undefined
Student Accommodation Survey
The Student Accommodation Survey is a survey designed to collect information regarding preferences and requirements of students as concern their living accommodation. 
undefined
Student Orientation Survey
Students will be asked to fill out a survey that is designed to help the Office of New Student Programs get to know our new students. 
undefined
Alumni Registration Form
Use this template for registration for individuals who graduated with a degree or a certification program to keep them in communication channels for future
undefined
Parent Interest Survey
Parent Interest Survey is the best survey tool I've used to collect feedback from parents about how to improve their Children's Education.
undefined
Teacher Experience Survey
Ask your teachers at educational institutions to give you input on their teaching experiences. Use this template to develop futher questions.
undefined
College Registration Form
For busy teams that need to collect/sort/track college registrations/admissions. This form can help to get started.
undefined
Are you co operative survey
A sample template to identify areas on co-operation and how to improve them.
undefined
Student Perception Survey
Student Perception Survey is an instrument that measures elements of student experience that have been demonstrated to correlate most closely to a teacher’s ability to positively impact student growth. Students are asked to indicate how frequently they experience each item with a response scale of always, most of the time, some of the time, and never. The survey is organized by four elements
undefined
School Travel Survey Questionnaire
The School Travel Survey Questionnaire is a questionnaire designed for use by parents and other community members to help guide and support school travel planning for children. A survey is a great way to collect information and find out more about why and how people travel. By doing this schools will be able to make better plans for travel in the future.
undefined
Anonymous Reporting at School
Report with confidence. We promise and ensure absolute anonymity, not just confidentiality.
undefined
Student Housing Satisfaction Survey
College students are among the most demanding and high-maintenance apartment dwellers. They are constantly on the road for school assignments, extracurricular activities, and sports, but they also spend a lot of time at home. As a result, you must keep your apartment premises and amenities up to date. You must endeavour to distinguish yourself from the other student housing options offered to students near school.
undefined
Training Evaluation Form
A Training Evaluation Form template can be used to assess the performance of your employees post-training. It assists you in identifying areas of concern as well as highlighting effective training or coaching provided by the employee's supervisor. We strongly advise you to keep a training evaluation form for each training course you provide.
undefined
High school climate survey
High school climate surveys are used to investigate feelings of safety, victimization, and peer relationships in schools. This helps educators keep students safe and healthy.
undefined
School Satisfaction Survey
To be used to gauge the sentiment among students.
undefined
Student leader voting form
Sample questions to ask during student elections.
undefined
Survey to find out attitude of Students towards Online Learning
In recent years, online learning has been increasing in popularity. That being said, online learning has been criticized for its advantages and disadvantages. Online learning also presents a highly effective way to apply new theories and techniques in a classroom setting. These types of courses have become popular because of a number of reasons. Some reasons were not being able to access ordinary classes or for being too far away from any available classes. Find out what students feel about online learning.  
undefined
Student Teacher Getting to Know Survey
Answer the following questions with as much detail as possible to help your teacher learn about you.
undefined
Campus Climate Survey
Campus Climate Survey is focused on the needs of college students, providing online resources for admissions, financial planning, study tips, student activities and much more. 
undefined
Math Survey for Students
Please answer each question honestly. Your answers allow me to work better during the school year.
undefined
Student Accommodation Satisfaction Survey
Satisfaction surveys are a vital way to gather preliminary data about your students and their satisfaction levels with various aspects of accommodation.

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE