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Sexual harassment is any unwelcomed sexual advance, request for sexual favors, and other verbal or physical conduct of sexual nature that tends to create a hostile or offensive work enviornment. The purose of this survey is to obtain information about current or previous work enviornments and to determine wheather or not proper policie procedures are being met and followed.

Please check applicable category
Gender Male( ) Female( )

Age 16-25( ) 26-35( ) 36-45( ) 46-55( ) 56-65( ) 65+( )

Company Rank Non-management( ) Management( )

Directions: Using the following scale please respond to each statement. If you are not currently employed, answer the following statements based on previous employement.
SA(Strongly Agree) A(Agree) N(Neutral) D(Disagree) SD(Strongly Disagree)
 
 
Sexual harassment is a problem in your workplace.
SA A N D SD
 
 
 
There is a lack of communication within your workplace.
SA A N D SD
 
 
 
Sexual harassment prevents you from being able to express yourself.
SA A N D SD
 
 
 
Your job performance is affected by sexual harassment.
SA A N D SD
 
 
 
You fully understand your job policy.
SA A N D SD
 
 
 
Your job policy states that sexual harssment is not allowed.
SA A N D SD
 
 
 
Your job policy states that if sexual harassment is committed, the person committing the act will be reprimanded.
SA A N D SD
 
 
 
Your workplace is a safe enviornment.
SA A N D SD
 
 
THANK YOU FOR YOUR TIME AND COOPERATION
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