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300-BXB-01-IGDO © 2025, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | wsps.ca
A reasonable action taken by an employer or supervisor relating to the management and direction of
workers or the workplace is not harassment.
1. In your opinion, is harassment a problem in our workplace?
Yes
No (skip to Question 14)
2. Based on the above description of harassment, at any time in the past 12 months, in our workplace,
have you: (Select all that apply)
Been on the receiving end of harassment?
Witnessed harassment?
Participated in an investigation into harassment in the workplace (but not as the supervisor or
investigator)?
None of the above (skip to Question 14)
3. Please provide more information about the nature of harassment you experienced or witnessed.
Select all that apply.
Harassment
Behaviour
From
Co-Worker
From
Manager/
Supervisor
From
Member of
the Public
From
Client/
Customer
From Other
Non-verbal (mocking
or demeaning facial
expressions, body
language, tone of voice)
Verbal (repeated snide
or aggressive remarks,
insults, inappropriate
jokes/comments,
argumentativeness)
Social (scapegoating,
backstabbing, spreading
malicious rumors/false
information)
Social (circulating negative
comments or images
through social media or
other media)
WSPS.CA
