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1. How satisfied are you with the hours of work?

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2. How satisfied are you with the location of work?

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3. How satisfied are you with the health and welfare benefits provided?

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4. How satisfied are you with the supervision provided on your worksite?

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5. How satisfied are you with the company policies and procedures?

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6. How satisfied are you with your personal knowledge of your work roles and responsibilities?

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7. How satisfied are you with the training offered?

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8. Which location do you work in?

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9. What is your work status?

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10. Years of experience in this field (including outside of our organization)?

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11. How safe do you feel from violence in the workplace?

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12. What steps do you feel may be used to mitigate the risks of violence in the workplace?

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13. Where do you feel you are at risk of aggressive/violent incidents at work?

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14. Have you experienced emotional or psychological impacts from workplace violence?

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15. Are you aware of workplace conflict management policies, bullying and harassment policies?

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16. Are you aware of the process to report either workplace harassment from co-workers or violence (incident reports) experienced at work from participants?

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17. Do Individual Service Plans help to mitigate your risks by identifying potential violence from participants?

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18. Have you taken SIVA or CPI training?

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19. Do you know what to do if you experience workplace violence?

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20. How confident are you in your ability to manage workplace conflict with co-workers?

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21. How confident are you in your ability to manage workplace violence from participants you support?

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22. What workplace team building activities (if any) do you feel would be beneficial to team moral?

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23. Is there anything you would like to share with management that wasn't mentioned above?

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24. How satisfied are you with our use of technology in the form of computers, tablets, Sharevision, Inclusion, etc?

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i We adjusted the number you entered based on the slider’s scale.

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25. Do you have any barriers to accessibility at work?

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