Thank you for your willingness to share your story! Please answer the questions below. The information you share will be used to amplify the need for safer workplaces in Georgia and in our broader campaign efforts. This campaign is being led by the Respect Georgia Workers Alliance. For more information on this campaign, click here.

Your responses in this form will be kept confidential. They will not be shared with your employer, nor will they be associated with your name. If we use any quotes from your responses in this form they will remain anonymous/de-identified, unless you give us permission to do so. If you have any questions or concerns, please reach out to Allison Glass at allison@9to5.org.