Survey Templates Employee Evaluation Surveys Workplace Bullying Survey Questions + Sample Questionnaire Template

Workplace Bullying Survey Questions + Sample Questionnaire Template

Workplace bullying survey template is designed to collect feedback from employees if they have been subjected to bullying or ever witnessed the act. This survey template consists of questions that help an organization understand the state of safety of their workforce. This sample survey consists of 20+ questions and can be customized to suit the organization’s need to obtain the right feedback.

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1. Based on your overall experience with workplace safety how likely are you to recommend this organization to your family/friends?

0

1

2

3

4

5

6

7

8

9

10

Very Unlikely

Very Likely

2. Please choose the most appropriate answer options:

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

People treat each other with respect in this organization

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

There is a spirit of cooperation in this organization

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

People are reliable in this organization

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Disputes and conflicts are resolved using fair means

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Differences amongst individuals are respected and valued.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Managers work well with people from different background

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Discrimination is not tolerated in this organization

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

There is trust between employees and the managers

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

I feel at ease in this organization

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

In general, work is not a source of stress for me

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

3. In the past twelve months, how often has this happened to you?

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Been looked at in a hostile manner

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Excluded from work gatherings

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Given the “silent treatment”

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Not given the due recognition

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Treated in a disrespectful manner

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Subjected to an obscene gesture

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Had others refuse your request

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Had others delay actions that were important to you

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Yelled or shouted at for expressing oneself

Never

Once

A few times

Several times

Monthly

Weekly

Daily

Had some interfere with your work activities

Never

Once

A few times

Several times

Monthly

Weekly

Daily

4. Please specify your gender

Male

Female

Others

Prefer not to say

5. Have you been subjected to bullying or seen anyone getting bullied at work?

Yes

No

6. If the answer to the above question is yes, how many incidents have you witnessed?

One

A few

Several

Many

7. What is your ethnicity?

Black

Caucasian

Latino

Hmong

Japanese

Korean

Filipino

Chinese

Indian

Other

8. What did you do in response to the bullying/witnessing the act of bullying?

Ignored it

Talked to co-workers

Talked to supervisor

Talked to family/friends

Tried to keep away from work

Advised the victim to report the incident

Got other people to report the incident

Other

9. How diverse in terms of ethnic background is the organization?

Very diverse

Moderately diverse

Slightly diverse

Not diverse at all

10. How would you describe the ratio of men to women in this organization?

All women

Mostly women

About equal

Mostly men

All men

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