Misgendering and deadnaming can have a negative impact on the experiences and wellbeing of transgender, non-binary, and gender expansive (TGNB) students in higher education. As a part of a larger effort to reimagine and redesign the pursuit of TGNB student health equity, the LGBTQ + Center and Student Health Center at New York University (the team) partnered to address misgendering and deadnaming as one of many barriers to the wellbeing and thriving of TGNB students at the university. Through this partnership, the team created the Misgendering and Deadnaming Survey--a brief, weekly survey of cohorts of TGNB students conducted every semester for a two-year period. The tool enabled the institution to assess if change efforts yielded improvement and provided close-to-real-time feedback that allowed the team to identify and address root causes of misgendering and deadnaming, including biases, via the reporting of individual incidents and tracking of trends over time. In addition to an overview of the survey tool for those interested in replicating it at their institution, this report concludes by offering lessons learned in the development and implementation of this innovative, co-designed campus change project to catalyze improvement toward reducing misgendering and deadnaming and improving the campus conditions for TGNB college students to thrive.