Steven Granberg

Attorney at Law, P.A.


Employment Harassment Questionnaire

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Employment Harassment Questionnaire

To prove harassment, the nature (what was done), severity, duration (how long did it go on), and location (at work or elsewhere) are all crucial elements. The following questions try to get specific information on these and a few other criteria. Check the boxes which apply and try to provide as much detail as possible.

Please note there is no limit to the amount of information you can enter. The boxes will scroll as necessary as you add additional information.

Basis of harassment?

What was the harassment?

If yes, to whom have you complained or mentioned the harassment?

Were your complaints spoken or written?

What sort of action was taken against the harasser?

What action did the employer take to discipline the other harassment?

What action has the employer taken against other harassment?

How have you been damaged by the harassment?