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6. To whom, in the workplace, did you report the harassment (select all that apply)?
Manager/Supervisor
Co-worker
Owner
Human Resources
Union
Joint Health and Safety Committee (JHSC) Member/Health and Safety Representative (HSR)
Workplace healthcare professional (e.g. company nurse)
Tip: If you are a small workplace, omit the answer choices that don't apply to you.
Other person associated with my workplace – please specify (optional):
After you have responded to Question 6, skip directly to Question 8.
Tip: Compare the results of Question 6 to your workplace program. If there is a significant
difference between the two, this would be a clue indicating that either your workplace program
needs to be reviewed and possibly modified, or your training program needs to be refreshed.
7. If you answered "no" to Question 5, why did you not report the harassment (select all that apply)?
Although I felt uncomfortable, I wasn't sure the incident was harassment
I didn't know I was supposed to report it
I didn't know how to report it
I didn't know who to report it to
I felt I would put my job at risk
I didn't want to get in trouble
I didn't want to get someone else in trouble
I didn't believe anything would be done about it
I spoke directly to the harasser and the behavior stopped
I spoke to my supervisor and he/she resolved the issue
Other – please specify (optional)
After you have responded to Question 7, skip directly to question 14
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