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.*NeverRarelySometimesOftenAlways2. Walk by someone without any acknowledgment.*NeverRarelySometimesOftenAlways3. Take credit or partial credit for work done by another team member.*NeverRarelySometimesOftenAlways4. Don’t answer my phone when it’s someone I don’t want to speak with.*NeverRarelySometimesOftenAlways5. Send emails or texts when in a meeting.*NeverRarelySometimesOftenAlways6. Distract others with personal talk during working hours.*NeverRarelySometimesOftenAlways7. Delay sending pertinent information to other members of my team.*NeverRarelySometimesOftenAlways8. Blame someone else for a team error that I contributed to.*NeverRarelySometimesOftenAlways9. Arrive at meetings late, or leave meetings early without explanation.*NeverRarelySometimesOftenAlways10. Gossip and spread rumors about colleagues.*NeverRarelySometimesOftenAlways11. Neglect to say please or thank you.*NeverRarelySometimesOftenAlways12. Take food or drink from the lunchroom/fridge that is not mine.*NeverRarelySometimesOftenAlways13. Make insulting or derogatory remarks to a colleague.*NeverRarelySometimesOftenAlways14. Show little or no interest in others’ opinions.*NeverRarelySometimesOftenAlways15. Take advantage of my colleagues’ good nature.*NeverRarelySometimesOftenAlways16. Tell my colleagues to stay out of my way when I’m angry about something.*NeverRarelySometimesOftenAlways17. Don’t feel that I need to acknowledge the successes of my colleagues.*NeverRarelySometimesOftenAlways18. Slack off whenever I think no one will catch me.*NeverRarelySometimesOftenAlways19. Feel it’s appropriate to interrupt my colleagues when I disagree with them.*NeverRarelySometimesOftenAlways20. Often make several personal phone calls during working hours.*NeverRarelySometimesOftenAlways21. Frequently arrive at work late, or leave early.*NeverRarelySometimesOftenAlways22. Take all the easy tasks when working on a group project.*NeverRarelySometimesOftenAlways23. Belittle people who are different or think differently than I do.*NeverRarelySometimesOftenAlways24. Exclude certain colleagues when organizing extra-curricular activities.*NeverRarelySometimesOftenAlways25. Don’t look at someone when they are speaking to you.*NeverRarelySometimesOftenAlways26. Roll your eyes or sigh loudly when you disagree with a colleague.*NeverRarelySometimesOftenAlways27. Send angry or disparaging emails to colleagues.*NeverRarelySometimesOftenAlways28. Make ethnic, sexual innuendo, political, or religious comments or jokes.*NeverRarelySometimesOftenAlways29. Ignore new employees or new members on your team.*NeverRarelySometimesOftenAlways30. Get impatient with colleagues who don’t know how to perform a task.*NeverRarelySometimesOftenAlwaysNumberNameThis field is for validation purposes and should be left unchanged.
