The page below is a sample from the LabCE course Workplace Violence for Healthcare Employees. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Employee and/or Customer Questionnaires

An employee questionnaire about workplace violence prevention should be included as part of a comprehensive prevention program. Questions should cover topics such as, but not limited to:
  • Management commitment and employee involvement
  • Potential risk factors
  • Hazard prevention and control
  • Training
  • Incidents and reporting
All questionnaire responses should be submitted anonymously to protect the employee. There should also be a section for "Additional comments" to encourage employees to add comments/observations about areas not covered in the questionnaire.