STRICTLY PRIVATE & CONFIDENTIAL QUESTIONNAIRE
1. Have you ever been harassed, bullied or discriminated against at work?
2. If 'Yes' to Q.1, was it on the grounds of sex, race, religion, disability, trade union activities, age, etc.? (Please state).
3. If so, by whom?
4. Would you feel confident reporting to your manager if you were harassed, bullied or discriminated against?
5. If not, why not?
6. Are you aware of an Equal Opportunities Policy at work?
7. If so, do you believe it is being applied?
8. Do you believe you are likely to be harassed, bullied or discriminated against now?
---No more than previouslyMore than one year agoMore than three years agoMore than five years ago
9. If you answered 'Yes' to any or all of the previous eight questions, please say briefly why.
10. Please indicate which age group you belong to:
---Up to 25 years26 - 35 years36 - 45 years46 - 55 years56+ years
11. Please state gender:
12. Do you work in a school ?
---YesYes - AcademyNo
Please use the space below to add any other information that you may feel is relevant to our membership survey