In order for us to customize our Interpersonal Risk Profile, please provide the following information. This information is completely confidential and will only be used to make specific interpersonal risk management recommendations tailored to your industry and organization/business unit.

Number of employees in your organization:
-- Select -- less than 100 101 -- 500 501 -- 1000 1001 -- 5000 5001 -- 10000 10001 -- 20000 more than 20000

Number of business units/ divisions:              Number of employees in your business unit/division:
-- Select -- 1 -- 5 5 -- 10 10 -- 15 15 -- 20 more than 20                                           -- Select -- less than 50 50 -- 149 150 -- 250 251 -- 500 501 -- 1000 1001 - 5000 more than 5000

Your industry:
-- Select -- Auto Aviation Entertainment Financial Services Food & Beverage Services Health Care Hospitality Internet/High Tech Legal Manufacturing Non-profit Oil & Gas Real Estate/Construction Retail Services Telecommunications Transportation     other:

Has your company/business unit number of employees grown by more than 10% in the last year?
Yes    No

Does your company/business unit plan any layoffs or downsizing in the next year?
Yes    No

Does your company/business unit have employees working in other countries?
Yes    No

Does your company/business unit have expats coming to work in the United States?
Yes    No

Has your company/business unit had any mergers or acquisitions over the past year?
Yes    No

How many employment practices claims has your company/business unit had in the past three years (including the present):
-- Select -- none less than 3 3-10 11-50 more than 50     

Which areas of employment practices claims:
sexual harassment
wrongful termination
disability discrimination
race discrimination
sex discrimination
retaliation
other

Please place a check next to your company/business unit TWO greatest areas of concern:
reducing employment liabiliy
improving performance management
reducing turnover
improving the hiring process
employee development
employee retention
handling employee conduct/conflict