Q1. Have you ever received an injury or illness that was caused by your job or at work? Yes No If yes, how many times in your working life?
1-5 6-10 11-15 16-20 More than 20
Q2. Did you report the injury on each occasion? Yes, every time Most times Some of the time Rarely Never
Q3. Have you ever received Workers Compensation Payments (weekly benefits, medical expenses, lump sum)? No, but I have been injured No, because I have never been injured Yes, on one occasion only Yes on more than one occasion
Q4. If you were injured and had time off work and didn't receive a workers compensation benefit, why not? I wasn't eligible (eg not an employee) I was afraid to claim I didn't want to claim I didn't know I could make a claim Other Not Applicable
Q5. Have you ever had to use sick leave (or taken unpaid leave or other types of leave) for time off due to an injury or illness received at work. (Do not count times when you were reimbursed by Workers Compensation payments at a later date)? Never Once or twice Occasionally Often Many times Not Applicable
Q6. If you were injured in the future would you report the injury? Yes No Not sure
Q7. If you were injured in the future would you apply for workers' compensation? Yes No Not sure
Please select the response which best fits how you feel about the following statements. Q8. Most people on Worker's Compensation are rorting the system No Opinion Agree Disagree
Q9. Going on Worker's Compensation puts your job at risk No Opinion Agree Disagree
Q10. Employers won't hire someone who has had a worker's compensation claim No Opinion Agree Disagree
Q11. There is no stigma attached with being on Worker's Compensation No Opinion Agree Disagree
Q12. There should be no Worker's Compensation scheme No Opinion Agree Disagree
Some background information about yourself. Q13. Your Industry Construction Mining and Quarrying Agriculture or Rural Manufacturing Sport and Recreation Hospitality Public Service Education Information and technology Other
Q14. Sex Male Female
Q15. Your age (optional) 14-25 26-35 36-45 46-55 Over 55
Q16. How many years have you been in the workforce ? 1-5 6-10 11-15 16-20 More than 20
Thank you for taking the time to complete this survey.