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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.


1. Based on your overall experience with workplace safety how likely are you to recommend this organization to your family/friends?
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
There is a spirit of cooperation in this organization
People are reliable in this organization
Disputes and conflicts are resolved using fair means
Differences amongst individuals are respected and valued.
Managers work well with people from different background
Discrimination is not tolerated in this organization
There is trust between employees and the managers
I feel at ease in this organization
In general, work is not a source of stress for me
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
Excluded from work gatherings
Given the “silent treatment”
Not given the due recognition
Treated in a disrespectful manner
Subjected to an obscene gesture
Had others refuse your request
Had others delay actions that were important to you
Yelled or shouted at for expressing oneself
Had some interfere with your work activities
4. Please specify your gender
5. Have you been subjected to bullying or seen anyone getting bullied at work?
6. If the answer to the above question is yes, how many incidents have you witnessed?
7. What is your ethnicity?
8. What did you do in response to the bullying/witnessing the act of bullying?
9. How diverse in terms of ethnic background is the organization?
10. How would you describe the ratio of men to women in this organization?

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Need a longer questionnaire? Check out Exit Interview Questions (Long Template)