Untitled Question Title * 1. Have you experienced any of the following at your current or former job? Discrimination based on race, gender, age, disability, or religion Retaliation for reporting illegal or unethical behavior Harassment or a hostile work environment Wrongful termination or unfair disciplinary action Unequal pay or promotional opportunities None of the above Question Title * 2. Did you report the issue to a manager, HR, or another authority at your workplace? Yes No Not applicable Question Title * 3. Has your employer taken any action in response to your report (if any)? Yes, they took appropriate action Yes, but the issue was not resolved No action was taken I did not report the issue Question Title * 4. Are you still employed with the company where the issue occurred? Yes No Question Title * 5. Would you like a free, confidential case review with an experienced Intake Specialist? Yes No Question Title * 6. Please provide your contact information to receive your free case review: Name State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Done