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