undefined
HomeAll templatessocial awareness surveysdiscrimination survey

Discrimination survey

The survey asks respondents about their personal experiences with discrimination and their perceptions of it in the workplace, housing, and other areas of life.

2 minutes to complete

Eligibility

The Discrimination Survey is open to all people aged 16 or over who are living in private households

undefined

Questions for Discrimination survey

Questions

1.

How old are you?

The answer should be a text input.
2.

What is your gender?

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
3.

What is your race/ethnicity?

The answer should be a text input.
4.

Have you ever experienced discrimination?

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

If yes, please describe the situation in which you experienced discrimination.

The answer should be a text input.
6.

How did the experience make you feel?

The answer should be a text input.
7.

Have you ever witnessed discrimination?

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

If yes, please describe the situation in which you witnessed discrimination.

The answer should be a text input.
9.

What did you do in response to the situation?

The answer should be a text input.
10.

How did witnessing the discrimination make you feel?

The answer should be a text input.
11.

Do you believe that discrimination is a problem in our society?

The answer should be a single choice:
  1. Yes
  2. No
12.

If yes, please describe how discrimination has affected your life.

The answer should be a text input.
13.

What do you think can be done to reduce or eliminate discrimination?

The answer should be a text input.

Surveys Similar to Discrimination survey

  • Racial discrimination survey
  • Gender discrimination survey
  • Age discrimination survey
  • Disability discrimination survey
  • LGBT discrimination survey

Here are some FAQs and additional information
on Discrimination survey

How often should I conduct an employee discrimination survey?

There is no definitive answer to this question as it will depend on the specific needs of your organization. However, it is generally recommended that you conduct a survey at least once every two years in order to ensure that your employees feel comfortable speaking up about any potential instances of discrimination.

What questions should I include in my employee discrimination survey?

The questions you include in your survey will depend on the specific needs of your organization. However, some example questions you may want to include are: “Do you feel that you have been treated fairly by your supervisor?”, “Do you feel that you have been treated fairly by your co-workers?”, and “Do you feel that you have been treated fairly by your company?”

How to encourage honest feedback from my employees?

There are a few ways to encourage honest feedback from your employees: - Let them know that their responses are anonymous and will not be linked to their individual employee records. - Explain that the survey is designed to help the company identify and address any potential discrimination issues, and that their feedback is critical to the success of the initiative. - Remind them that the survey is confidential and that their responses will not be shared with anyone outside of the HR department.

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
Discrimination survey

1000+ Templates, 50+ Categories

Explore more
undefined
Animal abuse survey
Animal abuse is a serious problem that can have a lasting impact on victims and their families. The following survey is designed to help us better understand the prevalence of animal abuse and the factors that contribute to it. Your participation is completely voluntary and your answers will be kept confidential.
undefined
Domestic abuse survey
This survey is designed to collect data about domestic abuse. The questions ask about the respondent's personal experiences with domestic abuse, as well as their knowledge of and attitudes towards domestic abuse.
undefined
Racial Attitude Survey
The Racial Attitude Survey is a study that measures the level of prejudice and discrimination in a society. It is usually conducted by asking people about their opinions on race and ethnicity. The results of the survey can be used to help policy makers and social scientists understand the level of racism in a society and how it affects people's lives.
undefined
Child abuse survey
This survey is designed to help researchers learn more about the prevalence and effects of child abuse.
undefined
Sexual abuse survey
This survey is designed to collect information about sexual abuse experiences. The survey is anonymous and confidential.
undefined
Substance abuse survey
Substance abuse surveys are conducted to gather information about the prevalence of substance abuse and to identify risk factors for substance abuse.
undefined
Gender equality survey
The purpose of this gender equality survey is to collect data on the experiences of women and men in relation to gender equality. The results of the survey will be used to inform future policies and programs to promote gender equality.
undefined
Social Anxiety Survey
The Social Anxiety Survey is a survey that was developed to measure the severity of social anxiety symptoms. It consists of questions that assess different aspects of social anxiety, such as fear of negative evaluation, avoidance of social situations, and physical symptoms of anxiety. The survey can be used to help diagnose social anxiety disorder and to track the severity of symptoms over time.
undefined
Alcohol use disorder survey
The Alcohol Use Disorder Survey is a survey that was developed to assess an individual’s alcohol use and related problems. The survey is composed of questions that cover various aspects of alcohol use, including frequency of use, quantity consumed, and problems associated with alcohol use.
undefined
Discrimination survey
The survey asks respondents about their personal experiences with discrimination and their perceptions of it in the workplace, housing, and other areas of life.
undefined
Racism survey
The Racism Survey is designed to measure the level of racism in a given population. The survey usually consists of a series of questions about the respondent's attitudes and beliefs regarding race and racial groups. The survey is intended to be used as a tool to help identify and address racism in a given community.
undefined
Cyber bullying survey
Cyberbullying survey questions are designed to collect data about the prevalence of cyberbullying and the impact it has on those who experience it. The questions are typically asked of a large group of people, such as a school or district, in order to get a general sense of the problem. However, the questions can also be asked of a smaller group, such as a class, in order to get a more specific sense of the problem.
undefined
Anti bullying survey
This survey is designed to help us understand how often bullying occurs in our schools, workplaces, or elsewhere.
undefined
Human rights awareness survey
The Human Rights Awareness Survey (HRAS) is a questionnaire that was developed to measure people's awareness of human rights. The survey is designed to be used as a tool for human rights education and advocacy. It can be used to assess people's knowledge of human rights, their attitudes towards human rights, and their behaviour in relation to human rights. The survey can also be used to evaluate the effectiveness of human rights education and advocacy programs.
undefined
Stop human trafficking survey
This survey is designed to help us understand how best to stop human trafficking. It will take approximately 5 minutes to complete.
undefined
Human trafficking knowledge survey
The purpose of this survey is to collect information about individuals' knowledge of human trafficking. The survey will take approximately 5 minutes to complete. Your responses are anonymous and will be used for research purposes only.
undefined
Human trafficking awareness survey
This survey is designed to gauge awareness of human trafficking among the public. The survey will ask questions about what people know about human trafficking, whether they have heard of it before, and if they are aware of its prevalence around the world. The survey will also ask questions about what people think should be done to combat human trafficking and whether they would be willing to get involved in efforts to address the issue.

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE