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Demographics
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Participant pseudonym
Your answer
What is your sexual gender identity? (Please type in. i.e., female,
transwomen)
Your answer
If changed, what was your sexual gender identity at the time of bullying (Please type in)
Your answer
Which healthcare facility do you work at?
Your answer
Which race/ethnicity do you identify with?
Asian/Asian American
African/African American
Hispanic/Hispanic American
Native American
Other:
Clear selection
What is your current relationship status?
Single
Married
Separated/Divorced
Cohabitating
Widowed
Clear selection
What is your highest level of education completed?
Diploma
Associate Degree
Bachelor of Science
Master of Science
Doctoral
Clear selection
What is your current practice area?
(Type your work setting, i.e., Medical/Surgical, ED, etc.)
Your answer
Do you work: (
Select one
)
Full time
Part time
Clear selection
Which shift do you work? (
select one that applies)
Days
Evenings
Nights
Rotating Shifts
Do you float to different work areas? (
If yes: please type in which areas
)
Your answer
What is your age?
Your answer
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