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* 1. Demographics

  Male Female
Asian
Black
Chinese
White
Other

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* 4. Have you every felt sexually harassed at work?

  Yes No
Sexual remarks in general
Sexual remarks directed at you
Unwanted sexual advances
subtle bribery to engage in sexual behaviour
Threats to engage in sexual behaviour

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* 5. What level was the person who sexually harassed you?

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* 6. Did you discuss it with someone at work informally

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* 7. Did you report it formally?

  Yes No
Educational or Clinical Supervisor
Head of Department
TPD

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* 8. If you didn't report it, why didn't you?

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* 9. If you did report it, what was the outcome?

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* 10. Have you ever felt you have been treated differently because of your gender, and if yes, by whom?

  Yes No
Consultant
Senior medical colleagues
Junior medical colleagues
Nurse
Manager

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