Cross-Sectional Survey on Workplace Responses on Personnel Impacted by Domestic Violence
Disclaimer: Please note that your response to this survey is kept private and confidential and is strictly for the internal reference of United Women Singapore to assist in the development of social initiatives for private enterprise.

Duration: 5 minutes
Sign in to Google to save your progress. Learn more
1. Do you have females in your workforce? *
2. If your response to Question 1 is yes, what is the estimated percentage of females in your workforce? *
3. Are you aware that there has been an increase in incidents of domestic violence in Singapore due to the COVID situation/circuit breaker restrictions? *
4. Have you, in your capacity as a senior executive of the organization, come across a situation when an employee appears to be a victim of domestic violence? *
5. If an employee is a victim of domestic violence, do you perceive this as a personal issue or a personnel issue? *
6. If there is an employee who appears to be a victim of domestic violence, who is/are the personnel within the organisation that responds to this situation? (Tick all relevant boxes.) *
Required
7. Does this statement apply to your organisation? Our workplace creates a safe and supportive environment so that victimised employees can disclose that they are experiencing violence, and seek assistance, without fear of job retaliation or loss of privacy. *
8. Does your organisation currently have policies and/or regulations relating to employees' welfare? *
9. If your response to Question 8 is yes, does your organisation's current policies and/or regulations address the workplace impacts of domestic violence?
Clear selection
10. Does your organisation have policies and/or regulations on workplace impacts of domestic violence which addresses response to: *
11. Our organisation has policies in the following areas which would address response to employees who may be victims or perpetrators of domestic violence: (Tick all relevant boxes.) *
Required
12. Our policies/procedures/practices allow us to make short or long-term modifications/accomodations for victim-employees to help them protect their safety and perform their work. These accomodations include: (Tick all relevant boxes.) *
Required
13. Our managers/supervisors receive training on: *
Required
14. Our organisation has an employee assistance program (i.e. counselling services, financial assistance, etc) available to all employees. *
15. If your organisation has policies that address the workplace impacts of domestic violence, are these policies led by the organisation's global headquarters or the regional headquarters? *
16. Are you interested in learning more about personnel policies that addresses response to the workplace impacts of domestic violence? *
17. If yes, select the preferred learning modes: (Tick all relevant options.)
18. If your response to Question 17 is no, please select the top 3 reason(s) why. *
Required
19. Select the top 3 areas of support which you think will aid in the successful implementation of personnel policies and guidelines that addresses response to workplace impacts of domestic violence. *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of United Women Singapore. Report Abuse
Google Forms