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What is your approximate age?
Less than 20 years old
20 to 35 years old
36 to 50 years old
51 to 65 years old
Over than 65 years old
What is your gender?
Female
Male
Approximately how many years in the workforce do you have?
Less than 5 years
5 to 15 years
16 to 25 years
26 to 30 years
Over 30 years
While employed in any field in your professional life, have you witnessed or experienced any of the following? (Mark all that apply.)
Verbal bullying
Aggressive leadership by superiors (condescension, toxic leadership, etc.
Uncomfortable work environment (verbal actions or innuendo)
Sexual harassment
Sexual assault
Corporate theft (to include everything from office supplies to trade secrets)
Physical aggression (intentional throwing of office supplies, etc.)
Physical violence (whether directed at employers or customers)
Intentional ignoring of above scenarios by leadership
Other forms of workplace violence than listed above
None of the above
If Other was selected above, please describe here.
Were you ever employed in a setting where the above or similar conditions likely existed, but could not be proven?
Yes
No
Uncertain
How much of a priority do you assess identifying and preventing workplace violence was for your leadership/employers in instances where it existed or was likely?
Greatest priority
Important priority
Moderate priority
Minor priority
Lowest priority
In instances where identifying and preventing forms of workplace violence was some level of a priority, how effective do you assess it was?
Extremely effective
Very effective
Moderately effective
Minimally effective
Not effective
In instances where forms of workplace violence existed or likely existed, did you observe any of the following? (Mark all that apply.)
Employee/Employer morale decline
Work productivity stagnate/decline
Employee(s) leave as a result of real/perceived violence
Retaliation by accused/perpetrator/leadership
Discipline/Dismissal of accused/perpetrator
Protection/rehabilitation of victims
Legal action against accused/perpetrator/leadership
Other actions
None of the above
If Other was selected above, please describe here.
Please list any comments pertaining to forms of workplace violence and identification/prevention you may have.
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