How Safe is Your Workplace From Violence?

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* 1. What types of workplace violence have you experienced in the past year? (Select all that apply)

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* 2. After a workplace violence incident, my employer generally ___________.

  Yes No I don't know
Investigates what happened
Provides access to counseling for employees
Trains or retrains employees on preventing workplace violence
Changes practices to reduce the risk of workplace violence (e.g., adds cameras, adds staff, increases security, adds alarm systems, etc.)
Discourages employees from reporting incidents
Reprimands or blames employees
Ignores it

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* 3. How has workplace violence impacted you and your work? (Select all that apply)

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* 4. What does your employer currently do to prevent workplace violence?

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* 5. Share your experience of workplace violence here. Use as little or as much detail as you would like. 

Sharing your experience will help shape policy and legislation/regulation to prevent workplace violence in the healthcare setting.

Your experience will only be shared as you specify below.
 

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* 6. What kind of healthcare facility do you work in?

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* 7. What state do you work in?

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* 8. Are you an RN?

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* 9. Your personal information will be kept confidential and will only be shared as you specify below.

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* 10. Can we share your story anonymously?

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* 11. Can we share your story with only your first name and city, state?

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* 12. Can we share your story publicly with your name and city, state?

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* 13. Can we contact you about your story?

 
100% of survey complete.

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