Ilm Questionnaire M3 07
Perception of Behaviours that Challenge Questionnaire
I am conducting a questionnaire to measure people’s perceptions of behaviours which challenge in the workplace. This questionnaire should take approximately 10 minutes to complete. This questionnaire is confidential and the data will only be held until the results have been analysed and then destroyed in accordance with the Data Protection Act 1998.
Demographic Information
Age: ____
Gender: Male □ Female □
Place of Work: Learning Disability Service □ Mental Health □
Other: __________________________________
Yeas of Experience: ____
Amount of experience working with individuals who exhibit behaviours that challenge:
1 2 3 4 5
None Some A lot
1) Which of these constitutes behaviours that challenge?
Spitting □ Swearing □ Damage own property □ Damage to others property □ Verbal Threats □ Sexual Behaviour □ Physical Aggression □ Self Injurious Behaviour □
2) Which of these would I report in my workplace?
Spitting □ Swearing □ Damage own property □ Damage to others property □ Verbal Threats □ Sexual Behaviour □ Physical Aggression □ Self Injurious Behaviour □
3) How often would these behaviours have to occur before you reported them?
0-1 times 2-3 times 4-5 times
4) How frequently would these behaviours have to occur before you felt they would impact your workplace performance?
Daily □ Weekly □ Monthly □ Yearly □
5) I would be likely to leave my job if I was verbally abused and spat at on daily basis?
1 2 3 4 5
Very Unlikely Likely Very Unlikely
6) Part of my job is to get hit, there is nothing I can do about it?
1 2 3 4 5
Strongly Agree Agree Strongly Disagree
7) Everyone I work with is responsible
I am conducting a questionnaire to measure people’s perceptions of behaviours which challenge in the workplace. This questionnaire should take approximately 10 minutes to complete. This questionnaire is confidential and the data will only be held until the results have been analysed and then destroyed in accordance with the Data Protection Act 1998.
Demographic Information
Age: ____
Gender: Male □ Female □
Place of Work: Learning Disability Service □ Mental Health □
Other: __________________________________
Yeas of Experience: ____
Amount of experience working with individuals who exhibit behaviours that challenge:
1 2 3 4 5
None Some A lot
1) Which of these constitutes behaviours that challenge?
Spitting □ Swearing □ Damage own property □ Damage to others property □ Verbal Threats □ Sexual Behaviour □ Physical Aggression □ Self Injurious Behaviour □
2) Which of these would I report in my workplace?
Spitting □ Swearing □ Damage own property □ Damage to others property □ Verbal Threats □ Sexual Behaviour □ Physical Aggression □ Self Injurious Behaviour □
3) How often would these behaviours have to occur before you reported them?
0-1 times 2-3 times 4-5 times
4) How frequently would these behaviours have to occur before you felt they would impact your workplace performance?
Daily □ Weekly □ Monthly □ Yearly □
5) I would be likely to leave my job if I was verbally abused and spat at on daily basis?
1 2 3 4 5
Very Unlikely Likely Very Unlikely
6) Part of my job is to get hit, there is nothing I can do about it?
1 2 3 4 5
Strongly Agree Agree Strongly Disagree
7) Everyone I work with is responsible