Workplace Civility Self-Assessment If you would like your results emailed to you, fill in your email address. If not, after you complete the survey, hit ‘Submit’ and your score will be compiled and will display. Note: This is an anonymous assessment.Email This questionnaire will provide an assessment of your workplace behaviour. Keep in mind that no one is perfect and that everyone most likely exhibits some of the negative behaviours in varying degrees. Certain behaviours may not happen with co-workers that you know well and like, however, they typically happen with those that we don’t know as well, interact with only on an occasional basis, or dislike. Be honest with your answers. This is an anonymous assessment, for your personal/professional use only. ©2019 Owen-Stewart Performance Resources Inc. How often do you do the following? Circle your response for each of the 30 behaviours. [1] Never [2] Rarely [3] Sometimes [4] Often [5] Always1. Go out of my way to avoid speaking with someone by using email.* Never Rarely Sometimes Often Always 2. Walk by someone without any acknowledgment.* Never Rarely Sometimes Often Always 3. Take credit or partial credit for work done by another team member.* Never Rarely Sometimes Often Always 4. Don’t answer my phone when it’s someone I don’t want to speak with.* Never Rarely Sometimes Often Always 5. Send emails or texts when in a meeting.* Never Rarely Sometimes Often Always 6. Distract others with personal talk during working hours.* Never Rarely Sometimes Often Always 7. Delay sending pertinent information to other members of my team.* Never Rarely Sometimes Often Always 8. Blame someone else for a team error that I contributed to.* Never Rarely Sometimes Often Always 9. Arrive at meetings late, or leave meetings early without explanation.* Never Rarely Sometimes Often Always 10. Gossip and spread rumors about colleagues.* Never Rarely Sometimes Often Always 11. Neglect to say please or thank you.* Never Rarely Sometimes Often Always 12. Take food or drink from the lunchroom/fridge that is not mine.* Never Rarely Sometimes Often Always 13. Make insulting or derogatory remarks to a colleague.* Never Rarely Sometimes Often Always 14. Show little or no interest in others’ opinions.* Never Rarely Sometimes Often Always 15. Take advantage of my colleagues’ good nature.* Never Rarely Sometimes Often Always 16. Tell my colleagues to stay out of my way when I’m angry about something.* Never Rarely Sometimes Often Always 17. Don’t feel that I need to acknowledge the successes of my colleagues.* Never Rarely Sometimes Often Always 18. Slack off whenever I think no one will catch me.* Never Rarely Sometimes Often Always 19. Feel it’s appropriate to interrupt my colleagues when I disagree with them.* Never Rarely Sometimes Often Always 20. Often make several personal phone calls during working hours.* Never Rarely Sometimes Often Always 21. Frequently arrive at work late, or leave early.* Never Rarely Sometimes Often Always 22. Take all the easy tasks when working on a group project.* Never Rarely Sometimes Often Always 23. Belittle people who are different or think differently than I do.* Never Rarely Sometimes Often Always 24. Exclude certain colleagues when organizing extra-curricular activities.* Never Rarely Sometimes Often Always 25. Don’t look at someone when they are speaking to you.* Never Rarely Sometimes Often Always 26. Roll your eyes or sigh loudly when you disagree with a colleague.* Never Rarely Sometimes Often Always 27. Send angry or disparaging emails to colleagues.* Never Rarely Sometimes Often Always 28. Make ethnic, sexual innuendo, political, or religious comments or jokes.* Never Rarely Sometimes Often Always 29. Ignore new employees or new members on your team.* Never Rarely Sometimes Often Always 30. Get impatient with colleagues who don’t know how to perform a task.* Never Rarely Sometimes Often Always HiddenNumberNameThis field is for validation purposes and should be left unchanged.