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Safe Work Environments
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Date
MM
/
DD
/
YYYY
Personal info
Email
Your answer
Name (optional)
Your answer
Gender (we're assessing number discriminated against based on gender)
Your answer
Do you identify as part of the LGBTQ+ community.
yes
no
Other:
Clear selection
If so, how do you identify?
Your answer
Cultural or Religous beliefs
Your answer
Home language (native language)
Your answer
Is this the same language you speak at work?
Your answer
Race (we are asking this to assess the number of environments which discriminate based on race-only fill in if you've experienced exclusion based on your race)
Your answer
Age (we're assessing number discriminated against based on age)
Your answer
Educational Background (we're assessing number discriminated against based on education)
High School incompleted
High School completed
Student (currently in University)
Higher National Certificate
Higher National Diploma
Undergraduate Degree (BA, BSc)
Bachelors
Post Grad
Masters Degree (MA, MSc)
Doctorate (PhD)
Other
Company Info
Company you're currently employed by (Full Company Name) -answer if applicable
Your answer
Client you're currently placed at (Full Company Name)- -answer if applicable
Your answer
If self employed or running your own company - what is the Company name
Your answer
Contract type
Permanent
Contract - long term
Contract - short tearm
Freelance
Temp
Other:
If other, please specify
Your answer
Institutional bullying happens when a workplace accepts, allows, and even encourages bullying to take place. This bullying might include unrealistic production goals, forced overtime, or singling out those who can’t keep up.
How would you describe your working environment/ work culture? - Select all which apply
Peaceful
Stressful
Dysfunctional
Harmonious
Sexist
Egalitarian
Authoritative Culture (Power and control sits only with leadership, and they assert their hierarchical power) - no respect for ideas or opinions of employees
Fear based culture (employees are silenced by intimidation or abuse or domination)
Trust based culture (ethical leaders make decisions that are in the best interests of those in the organisation and are guided by moral behaviour)
Selfish
Altrustic
Negative
Positve
Mistakes are seen as personal failure
Mistakes are seen as a method to learn and improve
Success is a limited commodity
Anyone can succeed - Success is in abundance
Manipulative
Genuine
Competitive
Collaborative
Micromanagers rule
Autonomy rules
Safe
Toxic
Egotistical
Power struggle
Gossipy
Clique Culture (exclusive)
Workplace bullying
Racist
Multicultural
Tolerant
Critical - constructive
Critical - destructive
Complimentary
Agressive
Friendly
Intrusive - work invades personal space
Other:
If other, please specify
Your answer
You might be asked to do difficult or seemingly pointless tasks and be ridiculed or criticised when you can’t get them done.
Yes
No
Unsure
Clear selection
You may be asked to do new tasks or tasks outside your typical duties without training or help, even when you request it.
Yes
No
Unsure
Clear selection
Your supervisor or manager might check on you often or ask you to meet multiple times a week without a clear reason.
Yes
No
Unsure
Clear selection
In your experience would you say the company you work for enables workplace bullying?
Yes
No
Unsure
Clear selection
Do you feel left out of the loop - communication occurs between some people, the rest are left out
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
Have you been purposely misled about work duties, like incorrect deadlines or unclear directions
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
Your colleagues demonstrate behaviour of high integrity and ethics.
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
Your Manager demonstrate behaviour of high integrity and ethics.
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
You trust that if you report something to your manager they will respond appropriately and rectify the problem or escalate
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
Stealing or taking credit for ideas is normal behaviour in this company
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
You feel free to express your thoughts, feelings and disagreements to your manager.
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
You believe that your company would never lie to the customers to conceal information that is relevant to them.
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
In the past 12 months, how often have you taken a high risk at work or broken procedure to achieve your goal?
often
1
2
3
4
5
never
Clear selection
In the past 12 months, have you personally seen or do you have firsthand knowledge of employees or managers demonstrating unethical behaviour?
Yes
No
Clear selection
If yes, what was the unethical behaviour?
Your answer
Did you report the unethical behaviour?
Yes
No
Clear selection
Unethical behaviour you have witnessed in the last year
Managers don't treat us with respect
Colleagues lack respect for each other
People don't care about each other in our team - everyone for himself
My Manager takes credit for employees work
My Manager insists that I work outside of specific work hours - no regard for my time
My colleagues or leads take credit for work which they didn't do
My Manager advocates for manipulative tactics (dark patterns) on our customers
Everytime a scandal comes out-eg. sexual harassment it's handled as a educational event (so everyone suffers) instead of dealing directly with the perpetrator--no consequences for perpetrator
Sexual harassment reported, victim was asked to leave company and perpetrator has no repercussions
Other:
If other, please specify
Your answer
Unfair treatment I have witnessed in the last year
Workload is unrealistic
Unreasonable time pressure
My Manager ignores me
My Manager disrespects me and never supports me
My Manager is aware of my learning goals and purposefully blocks me
My Manager promotes new people who join the team based on favouritism and not work performance
People get away with doing little or now work and get promoted
Some individuals who's parents are on the board get special treatment/opportunities (eg. no consequences if they do the wrong thing)
Other:
If other, please specify
Your answer
If you kept silent, what were the reasons for not reporting?
Nothing would come of reporting it - no one will do anything anyway
Fear of being victimised
They are complacent, they pretend to care but don't
They don't have the power to change things
I don't know if someone who cares exists
I was fearful of retaliation
I didn't know how to report the issue
I've had unpleasant reporting experience in the past, I don't want to go through that again
I thought someone else would report it
I don't want to get anyone in trouble
I don't trust my manager
Other:
If other, what was your reason for not reporting?
Your answer
Do you have any questions or comments or experiences you'd like to share?
Your answer
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