Adjust the three-month reference period to your setting and add appropriate reporting and support contacts before sharing. Include relevant workers and work-related settings. Keep all questions optional. Do not add names, exact locations, or small-team identifiers. The first nine questions use 20% answer protection; the final three are recorded directly, including written comments. Review comments for identifying details before sharing them, and avoid reporting small subgroups. Experience and witness questions measure different signals; categories can overlap and several witnesses may refer to the same event. Do not add these answers to estimate incidents or people involved. These behavioral questions are a diagnostic, not a legal determination. Conditions such as pressure or poor lighting are possible contributors to investigate, not excuses for misconduct. Arrange independent follow-up and protection against retaliation; this survey is not a formal complaint or urgent-help channel.