Inclusion Feedback Form
The goal of this feedback form is to assess our commitment to fostering an inclusive environment at [Your Company Name]. We value every individual's perspective and aim to make continual improvements in ensuring our workplace is diverse, equitable, and inclusive.
Full Name: [Name] | Department: [Department] |
Date: September 27, 2050 | Position: [Job Title] |
On a scale from 1 to 5 (1 being "Strongly Disagree" and 5 being "Strongly Agree"), how would you rate the following statements about our company's environment?
STATEMENT | 1 | 2 | 3 | 4 | 5 |
|---|
I feel valued and included at [Your Company Name]. | | | | | ✔ |
My opinions are respected regardless of my background or identity. | | | | | |
I see diverse representation in leadership roles. | | | | | |
Our company actively seeks diverse perspectives in decision-making. | | | | | |
I am comfortable being myself at work. | | | | | |
How effective did you find the Inclusion Training?
The training was very effective and I have seen positive results in our workplace. |
What additional topics or resources would you recommend for future training?
Are you aware of any initiatives [Your Company Name] has launched in the past year? If yes, please provide feedback on these initiatives or suggest areas for improvement:
Please provide any other feedback, observations, or suggestions regarding inclusion at [Your Company Name]:
Thank you for taking the time to provide feedback on our inclusion efforts. Together, we can make [Your Company Name] a more inclusive place to work. Please return this form to the HR Department by October 5, 2050.
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