Konsistent

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Konsistent

Konsistent is a young start-up which aims to fight against discrimination and harassment at school and at work. In this context, we are conducting a study on the processes and tools put in place to fight against this violence.

If you have been a witness or victim of this violence, you can help us design solutions by answering this questionnaire.

This questionnaire is anonymous.

Response time: 3 mins

Sign in to Google to save your progress. Learn more

What is your gender identity? *

Male

Female

Other:

Have you witnessed or experienced any form of discrimination or harassment?
*

Yes, I was the victim

Yes, I was a witness

Yes, I was a harasser (involuntary)

Yes, I've been both a victim and the harasser

No, I've never experienced it

On a scale of 1-5, how familiar are you with the following topics?

Homophobia/Transphobia

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Fatphobia

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Ableism

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Xenophobia

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Ageism

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Racism

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Work Pressure

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Moral harassment

*

I don't know much about it

1

2

3

4

5

I know the subject well

On a scale of 1-5, how familiar are you with the following topics?

Sexual harassment

*

I don't know much about it

1

2

3

4

5

I know the subject well

Which of the following, if any, have you personally experienced? (Please check all that apply)

Sexism

Racism

Homophobia/Transphobia

Fatphobia

Ableism

Xenophobia

Ageism

Work pressure

Sexual harassment

Moral harassment

Would you like to be more informed about these topics?
*

Yes

No

Does your school or university set up training on the subjects of discrimination or cyberbullying? If yes, what training?
*

If your school put training in place, would it be useful to you?
*

Yes

No

Do you think other students at your school could benefit from training surrounding these topics? *

Yes

No

When you write messages to your friends do you think that you push the boundaries of discrimination?
*

Sometimes

Often

Only as a joke

Never

Do you know the risks incurred for having made discriminatory remarks or morally or sexually harassing someone?
*

Yes

No

Other:

Do you want to take part in the Konsistent adventure?

If you want to help us build the perfect tool to fight against discrimination, you can leave your e-mail address here so that we can contact you.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of konsistent. Report Abuse