DLJ Consulting - Diversity and Inclusion Survey

DLJ Consulting

DLJ Consulting is building equity, inclusion and cultural diversity training models to improve morale, productivity, and increase positive business results for all organizations, law enforcement, police officers and congregations for optimal synergy

Question Title

* 1. I feel that I belong within my organization, work or academic environment

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Somewhat agree

Strongly Agree

Other (please specify)

Question Title

* 2. What ways can this environment / organization honor the uniqueness of individuals? What environment, organization or industry are you in? (e.g., Retail, Education, Religious, Non-Profit, Law Enforcement, other)?

Question Title

* 3. I feel welcome within my organization, work or academic environment

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Somewhat agree

Strongly agree

Other (please specify)

Question Title

* 4. Within my organization, work or academic environment, I am more accepting of others who are different from me.

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Somewhat agree

Strongly agree

Other (please specify)

Question Title

* 5. Within my organization, work or academic environment, I learned more about the need for diversity and inclusion in our environment or organization

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Somewhat agree

Strongly agree

Other (please specify)

Question Title

* 6. I believe my organization, work or academic environment must engage in conversations about racism, sexsim, LGBTQ, special needs, social issues and mental health issues

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Somewhat agree

Strongly agree

Why (please specify)

Question Title

* 7. How would you describe your stage in life? (Select all that apply)

	African American or Black	American Indian	Asian American	Caucasian or White American	Hispanic Latino(a)	Multiracial	Native American	Pacific Islander	N/A
Male	Male African American or Black	Male American Indian	Male Asian American	Male Caucasian or White American	Male Hispanic Latino(a)	Male Multiracial	Male Native American	Male Pacific Islander	Male N/A
Female	Female African American or Black	Female American Indian	Female Asian American	Female Caucasian or White American	Female Hispanic Latino(a)	Female Multiracial	Female Native American	Female Pacific Islander	Female N/A
Transgender	Transgender African American or Black	Transgender American Indian	Transgender Asian American	Transgender Caucasian or White American	Transgender Hispanic Latino(a)	Transgender Multiracial	Transgender Native American	Transgender Pacific Islander	Transgender N/A
Transitioning	Transitioning African American or Black	Transitioning American Indian	Transitioning Asian American	Transitioning Caucasian or White American	Transitioning Hispanic Latino(a)	Transitioning Multiracial	Transitioning Native American	Transitioning Pacific Islander	Transitioning N/A
Heterosexual	Heterosexual African American or Black	Heterosexual American Indian	Heterosexual Asian American	Heterosexual Caucasian or White American	Heterosexual Hispanic Latino(a)	Heterosexual Multiracial	Heterosexual Native American	Heterosexual Pacific Islander	Heterosexual N/A
Lesbian	Lesbian African American or Black	Lesbian American Indian	Lesbian Asian American	Lesbian Caucasian or White American	Lesbian Hispanic Latino(a)	Lesbian Multiracial	Lesbian Native American	Lesbian Pacific Islander	Lesbian N/A
Gay	Gay African American or Black	Gay American Indian	Gay Asian American	Gay Caucasian or White American	Gay Hispanic Latino(a)	Gay Multiracial	Gay Native American	Gay Pacific Islander	Gay N/A
Bisexual	Bisexual African American or Black	Bisexual American Indian	Bisexual Asian American	Bisexual Caucasian or White American	Bisexual Hispanic Latino(a)	Bisexual Multiracial	Bisexual Native American	Bisexual Pacific Islander	Bisexual N/A
Questioning or unsure	Questioning or unsure African American or Black	Questioning or unsure American Indian	Questioning or unsure Asian American	Questioning or unsure Caucasian or White American	Questioning or unsure Hispanic Latino(a)	Questioning or unsure Multiracial	Questioning or unsure Native American	Questioning or unsure Pacific Islander	Questioning or unsure N/A
18 and under	18 and under African American or Black	18 and under American Indian	18 and under Asian American	18 and under Caucasian or White American	18 and under Hispanic Latino(a)	18 and under Multiracial	18 and under Native American	18 and under Pacific Islander	18 and under N/A
19-25 - Age Range	19-25 - Age Range African American or Black	19-25 - Age Range American Indian	19-25 - Age Range Asian American	19-25 - Age Range Caucasian or White American	19-25 - Age Range Hispanic Latino(a)	19-25 - Age Range Multiracial	19-25 - Age Range Native American	19-25 - Age Range Pacific Islander	19-25 - Age Range N/A
26-35 - Age Range	26-35 - Age Range African American or Black	26-35 - Age Range American Indian	26-35 - Age Range Asian American	26-35 - Age Range Caucasian or White American	26-35 - Age Range Hispanic Latino(a)	26-35 - Age Range Multiracial	26-35 - Age Range Native American	26-35 - Age Range Pacific Islander	26-35 - Age Range N/A
36-45 - Age Range	36-45 - Age Range African American or Black	36-45 - Age Range American Indian	36-45 - Age Range Asian American	36-45 - Age Range Caucasian or White American	36-45 - Age Range Hispanic Latino(a)	36-45 - Age Range Multiracial	36-45 - Age Range Native American	36-45 - Age Range Pacific Islander	36-45 - Age Range N/A
46-55 - Age Range	46-55 - Age Range African American or Black	46-55 - Age Range American Indian	46-55 - Age Range Asian American	46-55 - Age Range Caucasian or White American	46-55 - Age Range Hispanic Latino(a)	46-55 - Age Range Multiracial	46-55 - Age Range Native American	46-55 - Age Range Pacific Islander	46-55 - Age Range N/A
56-65 - Age Range	56-65 - Age Range African American or Black	56-65 - Age Range American Indian	56-65 - Age Range Asian American	56-65 - Age Range Caucasian or White American	56-65 - Age Range Hispanic Latino(a)	56-65 - Age Range Multiracial	56-65 - Age Range Native American	56-65 - Age Range Pacific Islander	56-65 - Age Range N/A
66-75 - Age Range	66-75 - Age Range African American or Black	66-75 - Age Range American Indian	66-75 - Age Range Asian American	66-75 - Age Range Caucasian or White American	66-75 - Age Range Hispanic Latino(a)	66-75 - Age Range Multiracial	66-75 - Age Range Native American	66-75 - Age Range Pacific Islander	66-75 - Age Range N/A
76-85 - Age Range	76-85 - Age Range African American or Black	76-85 - Age Range American Indian	76-85 - Age Range Asian American	76-85 - Age Range Caucasian or White American	76-85 - Age Range Hispanic Latino(a)	76-85 - Age Range Multiracial	76-85 - Age Range Native American	76-85 - Age Range Pacific Islander	76-85 - Age Range N/A
Over 85 years of age	Over 85 years of age African American or Black	Over 85 years of age American Indian	Over 85 years of age Asian American	Over 85 years of age Caucasian or White American	Over 85 years of age Hispanic Latino(a)	Over 85 years of age Multiracial	Over 85 years of age Native American	Over 85 years of age Pacific Islander	Over 85 years of age N/A
Student	Student African American or Black	Student American Indian	Student Asian American	Student Caucasian or White American	Student Hispanic Latino(a)	Student Multiracial	Student Native American	Student Pacific Islander	Student N/A
Single	Single African American or Black	Single American Indian	Single Asian American	Single Caucasian or White American	Single Hispanic Latino(a)	Single Multiracial	Single Native American	Single Pacific Islander	Single N/A
Married with children	Married with children African American or Black	Married with children American Indian	Married with children Asian American	Married with children Caucasian or White American	Married with children Hispanic Latino(a)	Married with children Multiracial	Married with children Native American	Married with children Pacific Islander	Married with children N/A
A single parent	A single parent African American or Black	A single parent American Indian	A single parent Asian American	A single parent Caucasian or White American	A single parent Hispanic Latino(a)	A single parent Multiracial	A single parent Native American	A single parent Pacific Islander	A single parent N/A
Divorced with children	Divorced with children African American or Black	Divorced with children American Indian	Divorced with children Asian American	Divorced with children Caucasian or White American	Divorced with children Hispanic Latino(a)	Divorced with children Multiracial	Divorced with children Native American	Divorced with children Pacific Islander	Divorced with children N/A
Divorced without children	Divorced without children African American or Black	Divorced without children American Indian	Divorced without children Asian American	Divorced without children Caucasian or White American	Divorced without children Hispanic Latino(a)	Divorced without children Multiracial	Divorced without children Native American	Divorced without children Pacific Islander	Divorced without children N/A
Married without children	Married without children African American or Black	Married without children American Indian	Married without children Asian American	Married without children Caucasian or White American	Married without children Hispanic Latino(a)	Married without children Multiracial	Married without children Native American	Married without children Pacific Islander	Married without children N/A
A stay at home parent	A stay at home parent African American or Black	A stay at home parent American Indian	A stay at home parent Asian American	A stay at home parent Caucasian or White American	A stay at home parent Hispanic Latino(a)	A stay at home parent Multiracial	A stay at home parent Native American	A stay at home parent Pacific Islander	A stay at home parent N/A
A working parent	A working parent African American or Black	A working parent American Indian	A working parent Asian American	A working parent Caucasian or White American	A working parent Hispanic Latino(a)	A working parent Multiracial	A working parent Native American	A working parent Pacific Islander	A working parent N/A
Retired and active	Retired and active African American or Black	Retired and active American Indian	Retired and active Asian American	Retired and active Caucasian or White American	Retired and active Hispanic Latino(a)	Retired and active Multiracial	Retired and active Native American	Retired and active Pacific Islander	Retired and active N/A
Retired but homebound	Retired but homebound African American or Black	Retired but homebound American Indian	Retired but homebound Asian American	Retired but homebound Caucasian or White American	Retired but homebound Hispanic Latino(a)	Retired but homebound Multiracial	Retired but homebound Native American	Retired but homebound Pacific Islander	Retired but homebound N/A

DLJ Consulting - Diversity and Inclusion Survey

DLJ Consulting

Question Title

* 1. I feel that I belong within my organization, work or academic environment

Question Title

* 2. What ways can this environment / organization honor the uniqueness of individuals? What environment, organization or industry are you in? (e.g., Retail, Education, Religious, Non-Profit, Law Enforcement, other)?

Question Title

* 3. I feel welcome within my organization, work or academic environment

Question Title

* 4. Within my organization, work or academic environment, I am more accepting of others who are different from me.

Question Title

* 5. Within my organization, work or academic environment, I learned more about the need for diversity and inclusion in our environment or organization

Question Title

* 6. I believe my organization, work or academic environment must engage in conversations about racism, sexsim, LGBTQ, special needs, social issues and mental health issues

Question Title

* 7. How would you describe your stage in life? (Select all that apply)

Question Title

* 8. How would you define these words Diversity? Equity?

Question Title

* 9. How would you define Inclusion?

Question Title

* 10. How can this environment / organization challenge stereotypes and promote inclusion of all people?