
Workplace Violence Incident Survey |
The Workplace Violence Incident Survey is designed to collect information about physical, verbal, psychological, and sexual violence that occurs in health care settings. The individual completing the survey is asked to record the incident as accurately as possible. The respondent can record an incident that was experienced personally or an incident witnessed in the workplace.
Please fill out one survey for each workplace violence event. There is no limit on the number of workplace violence incidents that a respondent can report through this survey. All information is anonymous and will be collated through SurveyMonkey.
Thank you for your assistance in capturing information about workplace violence in health care settings.
Please fill out one survey for each workplace violence event. There is no limit on the number of workplace violence incidents that a respondent can report through this survey. All information is anonymous and will be collated through SurveyMonkey.
Thank you for your assistance in capturing information about workplace violence in health care settings.