Workplace Microaggression Climate Assessment
About this free form template

Create a More Inclusive Workplace with Data-Driven Microaggression Assessment

Workplace microaggressions—subtle, often unintentional discriminatory behaviors—can significantly impact employee wellbeing, engagement, and retention. Yet many organizations struggle to identify patterns, measure impact, and develop effective interventions. This Workplace Microaggression Climate Assessment template is designed specifically for DEI consultants, HR professionals, and organizational development specialists who need a structured, evidence-based approach to understanding and addressing microaggressions in the workplace.

Why This Assessment Matters

Traditional diversity surveys often miss the nuanced, day-to-day experiences that shape workplace culture. This assessment goes deeper by:

  • Tracking incident frequency across different types of microaggressions (racial, gender-based, ability-based, and more)
  • Evaluating psychological and professional impact on affected employees
  • Identifying patterns across departments, teams, and organizational levels
  • Generating actionable insights for targeted intervention strategies

With Paperform's conditional logic and calculation engine, the assessment adapts to each respondent's experiences, ensuring relevant follow-up questions while maintaining survey brevity. Responses flow directly into reporting dashboards, spreadsheets, or your preferred DEI analytics platform.

Built for DEI Consultants and Change Agents

Whether you're conducting an initial organizational audit, measuring progress after DEI training, or responding to employee concerns, this template provides the structure you need while remaining fully customizable to your methodology and client context.

The form's professional design and thoughtful question sequencing create a safe, respectful experience for participants sharing sensitive experiences. Use Paperform's AI Insights to automatically summarize large response sets, identify emerging themes, and generate executive summaries that help leadership understand the scope and nature of issues.

From Assessment to Action

The real power comes after data collection. Connect this form to Stepper to automatically route responses into your intervention workflow—triggering follow-up interviews, generating anonymized reports for leadership, updating project management systems, or creating customized training recommendations based on assessment scores.

Paperform's enterprise-grade security (SOC 2 Type II compliant) and optional anonymity features ensure participants can share honest experiences while you maintain the confidentiality and data protection standards essential for sensitive organizational assessments.

Transform workplace culture with evidence-based insights. This assessment template helps you move from awareness to measurable action, supporting organizations committed to creating truly inclusive environments where every employee can thrive.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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