University of Tennessee
Exit this survey

1. December 1, 2010

1. Have you ever been bullied at work?

Have you ever been bullied at work? Yes

2. Have you ever witnessed bullying at work?

Have you ever witnessed bullying at work? Yes

3. If you have ever been bullied at work, how did it make you feel? What did you do?

If you have ever been bullied at work, how did it make you feel? What did you do?

4. Do you feel your workplace has an issue with workplace bullying? (1 = No, they don't; 5 = Yes, they do).

	1	2	3	4	5
Rating	*Do you feel your workplace has an issue with workplace bullying? (1 = No, they don't; 5 = Yes, they do). Rating 1	Rating 2	Rating 3	Rating 4	Rating 5

Comment?

5. Is there a specific interpersonal situation at work you wish were resolved? If so, please explain. (There are no wrong answers!)

Is there a specific interpersonal situation at work you wish were resolved? If so, please explain. (There are no wrong answers!)

6. If you've been bullied at work, was it from:

If you've been bullied at work, was it from: Co-worker

Boss

Entire group

Other

Comment?

7. I feel my workplace handles workplace bullying issues well. (1 = No; 5 = Yes)

	1	2	3	4	5
Rating	*I feel my workplace handles workplace bullying issues well. (1 = No; 5 = Yes) Rating 1	Rating 2	Rating 3	Rating 4	Rating 5

If not a "5", please explain.

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