Exit this survey Hospital Security July 2019 Question Title * 1. Please select your employer Central Coast Local Health District Far West Local Health District Hunter New England Local Health District Illawarra Shoalhaven Local Health District Mid North Coast Local Health District Murrumbidgee Local Health District Nepean Blue Mountains Local Health District Northern NSW Local Health District Northern Sydney Local Health District South Eastern Sydney Local Health District South Western Sydney Local Health District Southern NSW Local Health District Sydney Children's Hospital Network Sydney Local Health District Western NSW Local Health District Western Sydney Local Health District Other (please specify) Question Title * 2. Which health facility is your main place of employment? Question Title * 3. In the last 12 months at your workplace, how many times have you been subject to: 0 1 2 3 4 5 6 7 8 9 10 More than 10 Threats, intimidation or verbal abuse Threats, intimidation or verbal abuse 0 Threats, intimidation or verbal abuse 1 Threats, intimidation or verbal abuse 2 Threats, intimidation or verbal abuse 3 Threats, intimidation or verbal abuse 4 Threats, intimidation or verbal abuse 5 Threats, intimidation or verbal abuse 6 Threats, intimidation or verbal abuse 7 Threats, intimidation or verbal abuse 8 Threats, intimidation or verbal abuse 9 Threats, intimidation or verbal abuse 10 Threats, intimidation or verbal abuse More than 10 Spitting Spitting 0 Spitting 1 Spitting 2 Spitting 3 Spitting 4 Spitting 5 Spitting 6 Spitting 7 Spitting 8 Spitting 9 Spitting 10 Spitting More than 10 Physical assault Physical assault 0 Physical assault 1 Physical assault 2 Physical assault 3 Physical assault 4 Physical assault 5 Physical assault 6 Physical assault 7 Physical assault 8 Physical assault 9 Physical assault 10 Physical assault More than 10 Threats with a weapon Threats with a weapon 0 Threats with a weapon 1 Threats with a weapon 2 Threats with a weapon 3 Threats with a weapon 4 Threats with a weapon 5 Threats with a weapon 6 Threats with a weapon 7 Threats with a weapon 8 Threats with a weapon 9 Threats with a weapon 10 Threats with a weapon More than 10 Assaults with a weapon Assaults with a weapon 0 Assaults with a weapon 1 Assaults with a weapon 2 Assaults with a weapon 3 Assaults with a weapon 4 Assaults with a weapon 5 Assaults with a weapon 6 Assaults with a weapon 7 Assaults with a weapon 8 Assaults with a weapon 9 Assaults with a weapon 10 Assaults with a weapon More than 10 Question Title * 4. How many times in the last 12 months have you witnessed a workmate experience: 0 1 2 3 4 5 6 7 8 9 10 More than 10 Threats, intimidation or verbal abuse Threats, intimidation or verbal abuse 0 Threats, intimidation or verbal abuse 1 Threats, intimidation or verbal abuse 2 Threats, intimidation or verbal abuse 3 Threats, intimidation or verbal abuse 4 Threats, intimidation or verbal abuse 5 Threats, intimidation or verbal abuse 6 Threats, intimidation or verbal abuse 7 Threats, intimidation or verbal abuse 8 Threats, intimidation or verbal abuse 9 Threats, intimidation or verbal abuse 10 Threats, intimidation or verbal abuse More than 10 Spitting Spitting 0 Spitting 1 Spitting 2 Spitting 3 Spitting 4 Spitting 5 Spitting 6 Spitting 7 Spitting 8 Spitting 9 Spitting 10 Spitting More than 10 Physical assault Physical assault 0 Physical assault 1 Physical assault 2 Physical assault 3 Physical assault 4 Physical assault 5 Physical assault 6 Physical assault 7 Physical assault 8 Physical assault 9 Physical assault 10 Physical assault More than 10 Threats with a weapon Threats with a weapon 0 Threats with a weapon 1 Threats with a weapon 2 Threats with a weapon 3 Threats with a weapon 4 Threats with a weapon 5 Threats with a weapon 6 Threats with a weapon 7 Threats with a weapon 8 Threats with a weapon 9 Threats with a weapon 10 Threats with a weapon More than 10 Assaults with a weapon Assaults with a weapon 0 Assaults with a weapon 1 Assaults with a weapon 2 Assaults with a weapon 3 Assaults with a weapon 4 Assaults with a weapon 5 Assaults with a weapon 6 Assaults with a weapon 7 Assaults with a weapon 8 Assaults with a weapon 9 Assaults with a weapon 10 Assaults with a weapon More than 10 Question Title * 5. How many times in the last 12 months have you witnessed a patient or member of the public experience: 0 1 2 3 4 5 6 7 8 9 10 More than 10 Threats, intimidation or verbal abuse Threats, intimidation or verbal abuse 0 Threats, intimidation or verbal abuse 1 Threats, intimidation or verbal abuse 2 Threats, intimidation or verbal abuse 3 Threats, intimidation or verbal abuse 4 Threats, intimidation or verbal abuse 5 Threats, intimidation or verbal abuse 6 Threats, intimidation or verbal abuse 7 Threats, intimidation or verbal abuse 8 Threats, intimidation or verbal abuse 9 Threats, intimidation or verbal abuse 10 Threats, intimidation or verbal abuse More than 10 Spitting Spitting 0 Spitting 1 Spitting 2 Spitting 3 Spitting 4 Spitting 5 Spitting 6 Spitting 7 Spitting 8 Spitting 9 Spitting 10 Spitting More than 10 Physical assault Physical assault 0 Physical assault 1 Physical assault 2 Physical assault 3 Physical assault 4 Physical assault 5 Physical assault 6 Physical assault 7 Physical assault 8 Physical assault 9 Physical assault 10 Physical assault More than 10 Threats with a weapon Threats with a weapon 0 Threats with a weapon 1 Threats with a weapon 2 Threats with a weapon 3 Threats with a weapon 4 Threats with a weapon 5 Threats with a weapon 6 Threats with a weapon 7 Threats with a weapon 8 Threats with a weapon 9 Threats with a weapon 10 Threats with a weapon More than 10 Assaults with a weapon Assaults with a weapon 0 Assaults with a weapon 1 Assaults with a weapon 2 Assaults with a weapon 3 Assaults with a weapon 4 Assaults with a weapon 5 Assaults with a weapon 6 Assaults with a weapon 7 Assaults with a weapon 8 Assaults with a weapon 9 Assaults with a weapon 10 Assaults with a weapon More than 10 Question Title * 6. If you have any comments, or would like to share details of your experience, please enter them here. Question Title * 7. Are you a member of the Health Services Union? Yes No No, but I am interested in becoming a member Question Title * 8. If you would like someone from the HSU to contact you regarding becoming a member, or are happy to be contacted to supply further information about your workplace experiences, please enter your contact details. Name Email Address Phone Number Done