1. Age?
   Under 20
   21-30
   31-40
   41-50
   51-60
   61-70
   Over 70
2. Gender?
   Male
   Female
3. Are you currently employed?
   Yes
   No
4. Industry currently/last employed in?
   Please Select Accounting/Administration Construction Engineering Consulting Education/Science Financial Services Government HealthCare Hospitality Tourism IT Customer Service Legal Human Resources Manufacturing Media/Marketing/Communications Retail/Sales Trade
   Other
5. Do you ever feel stressed as a result of your work?
   Often
   Sometimes
   Rarely
   Never
6. In your workplace are any of the following behaviours common?
   

   Abusive memos, notes or e-mails	Yes	No
   Verbal abuse, yelling or insults	Yes	No
   Threats & Intimidation	Yes	No
   Physical violence	Yes	No
   Sexual comments or innuendo	Yes	No

7. Have you ever been sexually harassed in the workplace or in association with your work?
   Yes
   No
1. If Yes, What did you do about the harassment?
   Nothing/ignored it
   Took formal action

Other
8. Have you ever worked in an environment that you thought was sexually hostile?
   Yes
   No
1. If Yes, What features made the work environment sexually hostile?
   Please Enter
9. Have you ever been bullied at work?
   Yes
   No
10. Do you think current Australian laws create adequate protection for workers against workplace violence?
    Yes
    No
11. In your experience, have your workplaces made an effort to eliminate violence from their culture?
    Always
    Often
    Sometimes
    Rarely
    Never
12. In general, would you describe your experience of work as?
    Productive & Positive
    Negative & Soul-destroying
    Just a job

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