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Quiz – Sexual Harassment
Step
1
of
9
11%
Have you been touched inappropriately at work by a supervisor or member of management?
*
Yes
No
Please, describe
*
Have you been subjected to inappropriate sexual comments, references, or images at work by a supervisor or member of management?
*
Yes
No
Were the touchings or comments welcomed or invited?
*
Yes
No
How often were you touched inappropriately, or subjected to inappropriate sexual comments, references, or images, at work by a supervisor or member of management
*
Did you report this conduct to Human Resources, a supervisor, or a member of management?
*
Yes
No
When did you report it to Human Resources, a supervisor, or a member of management?
*
MM slash DD slash YYYY
Was your job affected in any way after you made a report to Human Resources, a supervisor, or a member of management?
*
Yes
No
Were you terminated shortly after your report to Human Resources or management?
*
Yes
No
When did you do this?
*
MM slash DD slash YYYY
What is the name of your former employer and how many employees worked at the company?
*
What is your name, email address, and cell phone number?
Your Name
*
Your Email
*
Your Phone
*
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