A Home Office report in 2009 found that 20% of victims of domestic abuse had to take a month or more off work in the previous year due to the abuse.
For those suffering abuse at home, the workplace can be a place of refuge and safety, this survey will assist GMB Sandwell reps when negotiating with your employer to develop a policy to enable your workplace to be that safe environment.

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* 1. have you ever been subject to domestic violence?

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* 2. Did the domestic violence impact on your performance at work in any of the following ways?

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* 3. Did your partner/ex-partner work in the same workplace?

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* 4. Has the violence towards you affected your co-workers in any of the following ways?

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* 5. Did you discuss the violence with anyone at work?

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* 6. If you talked to someone at work about the violence, which of the following best describes their position(s) within the company?

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* 7. When reporting abuse, do you feel you were supported? (1 didn't feel supported - 5 very supported)

1 5
i We adjusted the number you entered based on the slider’s scale.

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* 8. Which of the following best describes the outcomes of discussing the violence with people you worked with?

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* 9. Would you have liked your workplace to help you in any of the following ways?

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* 10. Which area do you work in?

T