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
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
8. What formal actions did you take, if any? Mark all that apply.
- 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
9. How did your union respond? Mark all that apply.
- 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.
10. How did managers respond to your claim? Mark all that apply.
- 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?
- I did not know what actions to take.
- I saw no need to report it.
- I did not think anything would be done.
- I thought it would be held against me.
- Other
12. Who was the person(s) who sexually harassed you?
- My immediate supervisor
- Other higher level supervisor(s)
- My co-worker(s)
- Other employee(s)
- Customers or the public
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?
- 18-25 years
- 26-35 years
- 36-50 years
15. What is your sex?
- Male
- Female
