Dignity-4-All: Workplace Violence Survey

Workplace violence – be it physical or emotional abuse – has become a global problem crossing borders, work settings and occupational groups.  Violence at work and accompanying people problems have dramatically gained momentum and are now a priority concern in both industrialised and developing countries.

This is a confidential questionnaire to measure the extent of the relationship and people problems at the workplace.  There is no way that any respondent could be identified. The researchers guarantee absolute confidentiality and anonymity. 

The period under review is for 12 months, e.g. if the questionnaire is answered on 1 March 2007, the period will be 1 March 2006 to 28 February 2007 (a 12 month period) and all questions relate to this time frame. Your  participation will make it possible for us to establish the extent of violence and other people problems in specific sectors in the workplace. The findings will enable employers to deal with these problems effectively. We thank you for your participation and caring about a better workplace.

 1. *

Please select your employer:

    2. *

What is your sex?

 3. *

To which age group do you belong?

 4. *

Please indicate your racial grouping as a South African or immigrant:

    5. *

Into which monthly salary group do you fall?

    6. *

Do you work with the public (clients, visitors, service providers and so on) MORE than 50% (half) of the time?

    7. *

What type of work do you do?

    8.

Select the best status description for your current position:

    9. * During the 12-month period under review, have you been assaulted or attacked at work?
(Physical violence is the use of physical force against another person or group that results in physical, sexual or psychological harm.  It includes among others, beating, kicking, slapping, stabbing, shooting, pushing, biting and pinching. [Adapted from WHO definition of violence]). If you answered NO to the previous question (question 9), skip question 10 and go directly to question 11. 10. If you answered YES to question 9, please indicate how often the assaults or attacks take place, who the perpetrator(s) are and their gender.
  A. FREQUENCY OF ATTACK B. THE PERPETRATOR C. GENDER OF THE PERPETRATOR
A.1 All the time
A.2 Sometimes
A.3 Once
B.1 Member of the public or non-staff person.
B.2 Colleague(s) is/are my senior(s).
B.3 Colleague(s) is/are my junion(s).
B.4 Colleague(s) is/are peer(s) (same level).
C.1 Male
C.2 Female
11. * During the 12-month period under review, have you been bullied or mobbed at work?
Bullying/mobbing is repeated and over time offensive behaviour through vindictive, cruel or malicious attempts to humiliate or undermine an individual or groups of employees. This includes direct or indirect acts, ganging up against a person(s), threats, aggressive behaviour, humiliating,  or undermining or conspiring against a person(s), trying to get a person dismissed and so on.


 If you answered NO to the previous question (question 11), skip question 12 and go directly to question 13. 12. If you answered YES to question 11, please indicate how often the bullying/ mobbing takes place, who the perpetrator(s) are and their gender.
  A. FREQUENCY OF BULLYING/MOBBING B. THE PERPETRATOR(S) C. GENDER OF PERPETRATOR
A.1 All the time
A.2 Sometimes
A.3 Once
B.1 Member of the public or non-staff person.
B.2 Colleague(s) is/are my senior(s).
B.3 Colleague(s) is/are my junion(s).
B.4 Colleague(s) is/are peer(s) (same level).
C.1 Male
C.2 Female
13. * During the 12-month period under review, have you been verbally abused at work?
Abuse is behaviour that humiliates, degrades or otherwise indicates a lack of respect for the dignity and worth of an individual. ( Alberta Association of Registered Nurses) This includes among others screaming, shouting, sarcastic and humiliating remarks, body language and so on. If you answered NO to the previous question (question 13), skip question 14 and go directly to question 15. 14. If you answered YES question 13, please indicate how often the verbal abuse takes place, who the perpetrator(s) are and their gender.
  A. FREQUENCY OF VERBAL ABUSE B. THE PERPETRATOR(S) C. GENDER OF PERPETRATOR
A.1 All the time
A.2 Sometimes
A.3 Once
B.1 Member of the public or non-staff person.
B.2 Colleague(s) is/are my senior(s).
B.3 Colleague(s) is/are my junion(s).
B.4 Colleague(s) is/are peer(s) (same level).
C.1 Male
C.2 Female
15. * During the 12-month period under review, have you been sexually harassed at work?
Any unwanted, unreciprocated and unwelcome behaviour of a sexual nature that is offensive to the person involved, and causes that person to feel threatened, humiliated or embarrassed. (Irish Nurses Organisation) If you answered NO to the previous question (Question 15), skip question 16 and move on to question 17. 16. If you answered YES to question 15, please indicate how often the sexual harassment takes place, who the perpetrator(s) are and their gender
  A. FREQUENCY OF SEXUAL HARASSMENT B. THE PERPETRATOR(S) C. GENDER OF PERPETRATOR
A.1 All the time
A.2 Sometimes
A.3 Once
B.1 Member of the public or non-staff person.
B.2 Colleague(s) is/are my senior(s).
B.3 Colleague(s) is/are my junion(s).
B.4 Colleague(s) is/are peer(s) (same level).
C.1 Male
C.2 Female
17. * During the 12-month period under review, have you experienced racial harassment in your workplace?
Racial harassment is any threatening conduct that is based on race, ethnicity, colour, language, national origin, religion, association with a minority, birth or other status that is unreciprocated or unwanted and which affects the dignity of women and men at work. (Adapted from Human Rights Act, ) These include among others racist jokes, isolating a person(s), humiliating remarks, behaviour and so on. If you answered NO to the previous question (question 17), skip question 18 and go to question 19. 18. If you answered YES question 17, please indicate how often the racial harassment takes place, who the perpetrator(s) are and their gender.
  A. FREQUENCY OF RACIAL HARASSMENT B. THE PERPETRATOR(S) C. GENDER OF PERPETRATOR
A.1 All the time
A.2 Sometimes
A.3 Once
B.1 Member of the public or non-staff person.
B.2 Colleague(s) is/are my senior(s).
B.3 Colleague(s) is/are my junion(s).
B.4 Colleague(s) is/are peer(s) (same level).
C.1 Male
C.2 Female
19.

If you answered ''YES" to any or all of questions 9, 11, 13, 15 or 17, then indicate below how did the attack and/or incident(s) affect you. How bothered are you by:
  None A little Moderately Very much Severely
Repeated disturbing memories, thoughts or images of the attack or incident
Avoid thinking about or talking about the attack/incident or avoiding having feelings related to it?
Being "super alert" or watchful or on guard?
Feeling like everything was an effort
20. On a scale of 1 (not worried) to 5 (extremely worried) how concerned are you about the physical and/or emotional violence (bullying/mobbing, verbal abuse, racial and sexual harassment) at work? 21. *

Please indicate if  you have one or more of the following problems or challenges in your life:

    22.

Select THREE (3) options from the list below of what you think your employer should do to reduce violence and people problems at work:

   
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