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* 1. Which region do you live in?

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* 2. What industry do you work in?

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* 3. What is your age bracket?

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* 4. What gender do you identify with?

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* 5. What is your current employment status?

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* 6. What is the size of your business/work place?

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* 7. How long have you been in your current role?

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* 8. On a scale of 1 to 10 how much have you welcomed the recent and public discussion of sexual harassment in Western Australia?

Not welcomed or necessary Impartial Highly important discussion
i We adjusted the number you entered based on the slider’s scale.

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* 9. Sexual harassment is defined by the Australian Human Rights Commission as any unwanted or unwelcome sexual behaviour, which makes a person feel offended, humiliated or intimidated. Sexual harassment is not interaction, flirtation or friendship which is mutual or consensual.  
In addition, it can take many different forms – it can be obvious or indirect, physical or verbal, repeated or one-off and perpetrated by males and females against people of the same or opposite sex. 

Do you agree with this definition?

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* 10. Have you ever taken time-off from a work place to avoid a colleague  or due to some form of sexual harassment?

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* 11. Have you experienced unnecessary familiarity, such as deliberately brushing up against you or unwelcome touching at a work place?

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* 12. Have you ever received unwelcome requests for sex from a work colleague?

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* 13. Have you ever received repeated unwanted requests to go out on dates from a work colleague?

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* 14. Have you ever received insults or taunts of a sexual nature at your work place?

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* 15. Have you ever been asked intrusive questions about your private life or physical appearance by a work colleague?

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* 16. Have you ever been scared or concerned to go to a work place because of potentially being sexual harassed in some form?

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* 17. Does your current work place have a Sexual Harassment Policy?

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* 18. I consider sexual comments or joking to be sexual harassment?

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* 19. Have you ever altered any of your behaviours at work to avoid certain people or situations because of unwanted or unwelcomed behaviour?

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* 20. As a result of your employment have you ever been sexually harassed by a client, customer or contractor related to your work?

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* 21. Have you ever reported a sexual harassment concern or complaint at a work place?

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* 22. Would you feel comfortable and confident to report sexual harassment at your current work place?

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* 23. Have you ever considered resigning from a work place because of sexual harassment?

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* 24. If comfortable, would you like to include your experience of sexual harassment as a possible case study for the National Enquiry?

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* 25. Please provide your contact information if you're submitting a case study. Your personal details will not be shared or included in the National Enquiry submission - please contact policy@rrrnetwork.com.au if you wish to discuss this further.

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* 26. Please write your personal experience below for possible inclusion as a de-identified case study for the National Enquiry.  We will contact you to discuss before your case is included.

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* 27. We thank you for your contribution to our research on sexual harassment WA for the National Enquiry. Any information you have provided is anonymous and only for the sole purpose of research.

If you wish to make a formal complaint about sexual harassment, can can contact www.humanrights.gov.au
If you or someone you know is experiencing violence or abuse, you can contact 1800RESPECT on 1800 737 732 or www.1800respect.org.au

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