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Grievance Questionnaire
First name
*
Last name
*
Email
*
Phone
*
1. How long have you been employed for?
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2. What days do you work a week and how many hours a day?
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3. Please detail what issue/s you have experienced at work, giving as much detail as possible (e.g. specific dates, full names of the people involved, what their position in the company is).
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4. Do you think that the ill-treatment you have experienced at work has anything to do with the following characteristics:
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Your race/nationality
Your age
Your religious belief/other belief
Your disability/health issues that you have
Your sexual orientation
Gender reassignment
Your marriage/civil partnership
Your sex (i.e. because you are a man, or a woman)
5. Why you do you think this?
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6. What would be your desired resolution to this issue? (e.g. to be moved to another site, to have supervisor/colleague/manager who has been treating you badly to be removed to another site).
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7. Will you be requiring a translator at the grievance meeting? If so, what language?
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