Unfireable™ Workplace Bias Survey

Please describe the type of discrimination you experienced or witnessed. (Optional)

Where this happened

Where did this experience occur? *

Current workplace

Previous workplace

During recruitment / interview process

Approximate size of company: *

<100

100–500

500–5,000

5,000+

Experience Details

Were you the person directly affected, or are you reporting on behalf of someone else? *

It happened directly to me

It happened to someone else I know

I witnessed it

How frequently did the behavior occur? *

Once

Occasionally

Repeatedly over months

Ongoing over years

Please describe the incident(s). (Share as much or as little as you feel comfortable with) *

What do you believe the victim experienced as a result of the incident you described? *

Increased stress or anxiety

Lower self-confidence

Trouble sleeping or other physical health effects

Fear of retaliation/fear of speaking up

Considered leaving job or career

Prefer not to say

If you were not the direct victim, how did this affect you personally? (Optional; select all that apply)

Could you please share a bit more about how this situation affected you personally? (Optional)

Compared to the victim, was the perpetrator: *

Younger

About the same age

Older

Unsure

Compared to the victim, was the perpetrator: *

The same gender

A different gender

Unsure

What was the outcome? *

Victim resigned voluntarily

Victim was terminated / laid off

Victim demoted / sidelined

Formal complaint filed, no action taken

Formal complaint filed, retaliation occurred

Perpetrator was disciplined/removed

After reporting misconduct, which of the following did you experience? *

please share what happened after reporting misconduct (Optional)

In your view, how common is this type of behavior in your workplace? *

Very common

Somewhat common

Rare

I'm not sure

Which best describes your current career stage? *

Would you be open to connecting with other individuals who’ve reported the same perpetrator? *

Yes, but only if critical mass (e.g. 10+) aligned stories exist.

Yes, anytime.

No, keep me confidential.

Would you be open to supporting other individuals in their cases (statement, solidarity, resources)? *

Yes, I’d consider.

No, not at this time.

(Accountability Matching) If you’re willing, please share the company name where this occurred. (Optional)

You may add city/state or country if helpful.

(Accountability Matching) If you’re willing, please share the name of the perpetrator (individual). (Optional)

Title/role if known.

What is your confidence in the accuracy of the information you shared in (specifically the company name and perpetrator)?

Very confident

Somewhat confident

Not sure

Preferred contact method for private matching only (Optional)

You can remain anonymous. If you’d like us to contact you only if matching reports for the same perpetrator/company reach your chosen threshold, provide a contact method we can use (e.g., email). This will be stored separately from your survey responses.

Email/Phone

I understand that my contact method will be used only to notify me of potential confidential matches related to the same perpetrator/company. I understand that info I’ve provided will not be published or shared without my explicit consent later.

Thank you for submitting this report. Please confirm: *

I certify that the information I’ve submitted is truthful to the best of my knowledge. I understand that submitting false or defamatory content could carry legal consequences.

I understand this report will be used confidentially to identify broader patterns of misconduct.

I understand that my responses may be included in aggregate, anonymous research or reporting to help expose systemic issues. No identifying details will ever be shared without my explicit consent.

If I chose to opt in for recontact, I understand it is always optional, private, and consent-based.

Your courage matters. Every report strengthens the safety of someone who comes next. Together, we’re moving toward workplaces where women are seen, safe, and supported.