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General Employment Quiz
Help us understand your employment situation so we can provide the best guidance
What is your current employment status?
I was terminated
I quit my job
I am still working at my job
I am on leave
When did this happen?
(Answer the previous questions first)
Within the last month
1-3 months ago
3-6 months ago
6-12 months ago
1-2 years ago
2-3 years ago
More than 3 years ago
How long did you work there?
(Answer the previous questions first)
Less than 3 months
3-6 months
6-12 months
1-2 years
2-3 years
More than 3 years
What was your employment classification?
(Answer the previous questions first)
Hourly employee
Salary employee
Independent contractor
Unsure
What was your annual salary?
(Answer the previous questions first)
Less than $30,000
$30,000-50,000
$50,000-75,000
$75,000-100,000
$100,000-150,000
More than $150,000
Prefer not to say
What type of employment issue are you experiencing?
(Answer the previous questions first)
Wrongful termination
Workplace retaliation
Contract violations
Policy violations
Unsafe working conditions
Family/medical leave issues
Workers compensation issues
Other employment issue
Approximately how many employees does the company have?
(Answer the previous questions first)
1-4 employees
5-14 employees
15-49 employees
50+ employees
Not sure
Please tell us what happened in detail:
(Answer the previous questions first)
What is the name of your employer/company?
(Complete the previous questions first)
Contact Information
(Complete the previous questions first)
First Name
Last Name
Phone Number
Email Address
Submit