Stressintheworkplace

UntitledSection
1.1.WhenIamstressedIfeel(checkallthatapply):
Checkallthatapply.
Insecure
Burnout
Worry
Fear
Hostility
Anger
Exhaustion
Depressed
Otherspecify:
2.2.WhenIfeelstressedItendto:
Checkallthatapply.
Overeat
Havelackofappetite
Gainweight
Loseweight
Drinkmorethanusual
Smokemorethanusual
Cry
Troublesleeping
Headache
BodyAches(Back,Chest,NeckorShoulders)
Otherspecify:
3.3.WhenIamstressed:
Checkallthatapply.
Icantconcentrateorfocusonefinishingonething.
Idonotwanttowork.
Icannotcomeupanynewideas.
IforgettodosomethingbutIdonotrememberwhatitis.
Iwanttobealone,Idonotwanttotalkwithanyone.
Idonotwanttowakeup.
Otherspecify:

4.4.Conditionsatworkareunpleasantsometimesevenunsafe1=never2=rarely
3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

5.5.Ifeelthatmyjobisnegativelyaffectingmyphysicaloremotionalwellbeing1=never
2=rarely3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

6.6.Ihavetoomuchworktodoand/ortoomanyunreasonabledeadlines1=never2=rarely
3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

7.7.Ifinditdifficulttoexpressmyopinionsormyfeelingsaboutmyjobconditionstomy
superiors1=never2=rarely3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

8.8.Ifeelthatjobpressuresinterferewithmyfamilyorpersonallife1=never2=rarely
3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

9.9.Ihaveadequatecontrolorinputovermyworkduties(*)1=never2=rarely3=sometimes
4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

10.10.Ireceiveappropriaterecognitionorrewardsforgoodperformance1=never2=rarely
3=sometimes4=often5=veryoften
Markonlyoneoval.
1
1=never

5
5=veryoften

11.11.Iamabletoutilizemyskillsandtalentstothefullestextentatwork1=never2=rarely
3=sometimes4=often5=veryoften
Markonlyoneoval.
1

1=never

5=veryoften

Stressintheworkplace
12.12.IfeelthatIcanmakethisprojectevenbetter,Ineedtofixthesedetailsandmakesure
thatthereisnomistake.
1=Unlikeme2=Somewhatunlikeme3=Neutral4=Likeme5=Verylikeme
Markonlyoneoval.
1

1=Unlikeme

5=Verylikeme

13.13.Iwantthisproject/tasktobesuccessfulbutIdonothaveanyplan,yet!
1=Unlikeme2=Somewhatunlikeme3=Neutral4=Likeme5=Verylikeme
Markonlyoneoval.
1

1=Unlikeme

5=Verylikeme

14.14.Iamwaitingforthedeadline,IfeelthatIworkbetterwhenitnearsthedeadline.
1=Unlikeme2=Somewhatunlikeme3=Neutral4=Likeme5=Verylikeme
Markonlyoneoval.
1

1=Unlikeme

5=Verylikeme

15.15.Thereareproblemsintheworkplace,butthesupervisorsandcoworkersdonothing,
soIdontdoanythingtofixtheissues.
Markonlyoneoval.
1

1=Unlikeme

5=Verylikeme

16.16.Icannotsaynowhenothersaskmetodothemafavor,evenwhenIambusy.
Markonlyoneoval.
1
1=Unlikeme

5
5=Verylikeme

17.17.Ialwaysfinishallofmytasksanddutiesbeforethedeadline.(*)
Markonlyoneoval.
1

1=Unlikeme
18.18.Gender:
Markonlyoneoval.
Male
Female
Other:
19.19.Age:Whatisyourage?
Markonlyoneoval.
1820
2122
2325
26+
20.20.Whatisyourmaritalstatus?
Markonlyoneoval.
Single
Inarelationship
Engaged
Married
Divorce
21.21.Whatisyourhighesteducationlevel?
Markonlyoneoval.
Didnotcompletehighschool
Highschool/GED
Somecollege,nodegree
Associatesdegree
Bachelorsdegree
Mastersdegree
Ph.D.

5
5=Verylikeme

22.22.Pleasespecifyyourrace
Markonlyoneoval.
White
BlackorAfricanAmerican
AmericanIndianorAlaskaNative
Asian
NativeHawaiianorPacificIslander
Other
Prefernottoanswer
23.23.Howmanyhoursdoyouworkperweek?
Markonlyoneoval.
120hours
2030hours
4050hours
5160hours
Morethan60hours
24.24.Doyouhavechildren?
Markonlyoneoval.
none
12
34
5

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