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Antisemitism Survey
Name (optional)
First
Last
Email (optional)
Age (optional)
16-24
25-34
35-44
45-54
55-64
65+
What is your gender? (optional)
Male
Female
Prefer not to say
Other
1) Which of the following best describes you?
A Jewish employee in a secular organisation, working with non-Jewish colleagues and/or clients
Jewish and working for a Jewish charity, school or Jewish business
Jewish and self-employed, working with non-Jewish colleagues and/or clients
Other
If other, please specify
2a) Have you experienced antisemitic comments from colleagues or clients?
Yes
No (please go to question 5)
2b) If yes, how did you experience this (please tick all that apply)
In a conversation I was part of
In a conversation I overheard
On email, intranet or another internal communication system
Via WhatsApp or text message
Via the person’s social media account
Colleagues/clients know I am Jewish and are avoiding me
If other, please specify
If you selected other, please specify here
2c) If you answered yes, and you feel comfortable to, please write a short explanation of your experience.
3) If you have experienced antisemitism in the workplace, how has this impacted your mental health?
Please enter a number from
1
to
10
.
(0 = nothing at all – 10 = severely)
4) If you have experienced antisemitism in the workplace, have you felt supported by your line manager or senior management?
Please enter a number from
1
to
10
.
(0 = no, not at all – 10 = yes, absolutely)
If you feel comfortable to, please write a short explanation of your experience.
5a) Have you experienced supportive behaviour from colleagues or clients who, knowing you are Jewish, have reached out to you?
Yes
No
5b) If yes, how did you experience this (please tick all that apply)?
In a conversation I was part of
On email, intranet or another internal communication system
Via WhatsApp or text message
Via the person's social media account
Other
If other, please specify
5c) If you answered yes, and you feel comfortable to, please write a short explanation of your experience.
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