BROTHERS & SISTERS:

IF YOU SEE OR ARE GIVEN A QUESTIONNAIRE SIMILAR TO THE ONE BELOW, DO NOT FILL IT OUT!  CONTACT THE UNION OFFICE IMMEDIATELY WITH THE FOLLOWING INFORMATION:  WHERE YOU SAW IT, WHO GAVE IT TO YOU, ETC.

Fraternally,

Jeff Goen, President

 

PRINTED NAME: _________________________

 

EMPLOYEE NUMBER & DATE: _________________________

 

Investigative Questionnaire

 

INSTRUCTIONS

Please read the instructions very carefully before you start answering the questions.  Please do realize that

1.  Everyone’s every word and explanations are important and will be checked later on.

2. This is not a draft.  Before your write down your answers, please think about what you intend to say and how you are going to phrase your answers.

3. Please explain yourself and write down your answers in detail to enable everyone to clearly and fully understand exactly what happened.

4.  Use an ink pen and write in neat, clear handwriting to enable clear and understandable reading.

5. Do not make erasures.  If you need to correct or change some information, place parentheses around or draw single line through the information you wish to correct or change, initial the correction, and then provide the corrected or updated information.  Note:  There is also additional space made available in the questionnaire where you can correct mistakes if you need to.

Page 1 of 7

 

Sometime prior to March 8, 2008, racially insensitive and unacceptable graffiti was written a number of restrooms.  How would you explain this?  Please write in detail your ideas that would account for this.

Page 2 of 7

 

If you were going to conduct the investigation, how would you do it?

Page 3 of 7

 

List reasons why you think something like this would happen.

Page 4 of 7

 

Would you like to provide any clarifications to or change any of the information you have provided on the previous pages?

Page 5 of 7

Before you answer the following questions please remember that each word of your answers will be evaluated.  We would like you to take your time and think before you answer.

 

1. Do you know who wrote racially insensitive and unacceptable graffiti in the restroom near Col 17-C in the factory?

2.  Did you write racially insensitive and unacceptable graffiti on the restroom walls?

3.  Did you take part in writing racially insensitive and unacceptable graffiti on the restroom walls?

Page 6 of 7

 

1.  How do you feel now that you have completed this questionnaire?

 

2.  Should we believe your answers to the questions?

 

3.  If your answer to the last questions was “yes,” give us one reason why.

 

4.  What would you say if it was later determined that you lied on this form?

 

5.  While filling out this form, what were your emotions?

 

6.  Were you afraid while completing the form?

 

7. Did you ever discuss the possibility or reasons someone would write racially insensitive and unacceptable graffiti on restroom walls in the factory?

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