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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. Who do you believe is most likely to act aggressively toward you at work?

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* 15. How many incidents of physical violence have you experienced at work in the last 12 months?

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

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* 17. How many incidents of verbal violence have you experienced at work in the last 12 months?

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

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

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* 21. Have you taken SIVA or CPI training?

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* 22. Have you taken bullying and harassment training?

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

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

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

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

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* 27. If workplace team building activities happened outside of working hours (unpaid) would you participate?

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

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* 29. 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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* 30. Do you have any barriers to accessibility at work?

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