Survey Form Draft:

Survey Tips:

1. Such surveys are better anonymous, so better not ask any details which may reflect the identity of the staff.

2. If it is possible, involve ex-employees too, this will make the survey result more strong.

3. Share this survey with everyone irrespective of gender.

4. Make sure the staff is aware about the terms like “sexual harassment” or “workplace”.

5. Use survey management platforms for seamless surveys.

Make sure to publish the result at an internal platform of organization for everyone to see.

1. In what capacity are you working with the organization?

• Employee

• Contractual

• Off Roll

• Other

2. Your Gender:

• Male

• Female

• Other

3. Have you ever been verbally or non-verbally harassed at work or witnessed the same for your colleague/friend?

• Yes

• No.

• Not sure.

• Never.

4. If yes, by whom?

• Colleague

• Superior

• Non-employee (Visitor)

• NA

5. Have you ever experienced any physical harassment at the workplace or witnessed the same for your colleague/friend?

• Yes

• No.

• Not sure.

• Never

6. If yes, by whom?

• Colleague

• Superior

• Non-employee (Visitor)

• NA

7. Did you report the incident?

• Yes

• No

• NA

8. If yes, to whom did you report the same?

• Immediate reporting authority

• HR

• HOD

• Trusted Colleague

• Other_________

• NA

9. If you did not report the same, why?

• Was embarrassed/ashamed

• I felt it may not be important for the organization

• Felt insecure about job/personal safety.

• I felt people would find me stupid or may not believe me

• other_______________________

10. Do you feel that your workplace provides you with a harassment free safe work environment?

• Yes

• No.

• Sometimes

11. What can your organization do to eliminate any kind of sexual harassment in work place?

• Adopt zero tolerance policy against sexual harassment.

• Employ more women to increase gender balance.

• Train managers on how to prevent and identify sexual harassment.

• Conduct sensitisation training on what sexual harassment training is.

• Introduce Complaint procedures for harassment.

• Managers & executives should lead by example.

• Create a standalone sexual harassment policy.

• Establish safe channels to report incidents of harassment.

• Appoint a lead person on sexual harassment within organisation.

• Have an open dialogue about sexual harassment.

• Others_____________________________

12. If you are a female you will prefer working for an organization with all male colleagues & vice versa.

• Yes.

• No.

13. If NO, What is the reason behind it?

___________________________________________________

___________________________________________________

14. Are there any sufficient notices informing employees about your organization’s stance on sexual harassment and the consequences of indulging in such acts?

• Yes.

• No.

15. If you are a female will you be willing to work for an organization with NO sexual harassment policy & POSH compliance?

• Yes.

• No.

Reason of your answer:___________________________________

16. If you are a male will you be willing to work for an organization with NO sexual harassment policy & POSH compliance?

• Yes.

• No.

Reason of your answer:___________________________________