A Model Sexual Harassment Survey Please base your answers on your experiences in your current job. 1. Have you ever received any unwanted sexual attention on the job?
Yes No 2. What type of unwanted sexual attention have you received on the job? Mark all that apply.
Pressure for sexual favors. Touching, leaning over, cornering or pinching. Suggestive looks or gestures. Letters, phone calls or materials of a sexual nature. Exposure to sexual jokes and pin-ups. Threats that lack of sexual submission would affect employment. Rape, or attempted rape or sexual assault. Other
3. How often have these incidents of sexual attention occurred?
Never Rarely Occasionally Frequently
4. If you ever received unwanted sexual attention, how did you respond to this behavior? Mark all that apply.
I ignored the behavior or did nothing. I avoided the person(s). I made a joke of the behavior. I asked or told the person(s) to stop. I threatened to tell or told other workers. I reported the behavior to the supervisor or other management. I reported the behavior to the union. I went along with the behavior. None of the above. 5. Did you think that any of the following would hap pen if you did not go along with the sexual attention? Please mark all that apply.
My working assignments or conditions would get worse. The person(s) would be unpleasant or would embarrass me. I would be unable to get a promotion, raise or reference. I would lose my job. I did not think anything would happen. 6. Did any of the following changes happen in your work situation as a result of this unwanted sexual attention? Please mark all that apply. My working assignments or conditions got worse. I was denied a promotion, raise or reference. I was reassigned or fired. I transferred or quit to take another job. I quit without having another job. My working assignments or conditions got better. I received a promotion, raise or reference. No changes happened in my work situation. 7. Did you talk about the sexual attention with any of the following? Mark all that apply.
Other workers Union representative (s) My supervisor(s) or other management Federal or state equal employment or civil rights agency Women's center Friends, relatives None of the above
I requested an investigation by an outside agency I filed a grievance with my union. I requested an investigation by management. I filed a complaint or lawsuit. None of the above
Found my charge to be false Corrected the damage done to me Took action against the person(s) who harassed me Was hostile or took action against me Did nothing I don't know whether the union did anything.
Found my charge to be false Corrected the damage done to me Took action against the person(s) who harassed me Was hostile or took action against me Did nothing I don't know whether management did anything.
11. If you took no formal action, what were your reasons?
12. Who was the person(s) who sexually harassed you?
13. How widespread is sexual harassment at your workplace?
It goes on all the time. It happens to only a few people. It doesn't happen.
14. What is your age?
15. What is your sex?
Male Female
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