UK nurse Burnout Thesis 2 minute Survey

Published

I am a student at Maastricht university and would be extremely grateful if all nurses who work in the UK could answer the following 2 minute questionnaire regarding work-life balance and burnout among Nurses in the UK:

All information gathered will remain anonymous and confidential.

Thank you for your participation.

Timothy Butler

What is your sex?

  • Male
  • Female

Your age group?

  • 25-35
  • 36-45
  • 46-55
  • 55+

Could you please indicate who do you live with?

  • Alone
  • With a partner/spouse
  • With partner/spouse and child(ren)
  • Alone with child(ren)
  • Other

Percentage of household chores carried out by yourself?

Percentage of child-caring duties (if applicable) carried out by yourself?

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Do you work full time?

  • Yes
  • No

How many hours do you work per week?

Burnout

Please put a cross at the number box that best describes how often you feel the way it is described in the statements presented below:

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Never 0[/TH]

[TH=class: Selection BorderColor c5, align: center]A few times a year or less 1[/TH]

[TH=class: Selection BorderColor c6, align: center]Once a Month 2[/TH]

[TH=class: Selection BorderColor c7, align: center]A few times a month 3[/TH]

[TH=class: Selection BorderColor c8, align: center]Every Week 4[/TH]

[TH=class: Selection BorderColor c9, align: center]A few times a week 5[/TH]

[TH=class: Selection BorderColor c10 last, align: center]Every day 6[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]I feel emotionally drained from my work.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]I feel fatigued when I get up in the morning and have to face another day on the job.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]I feel I treat some recipients as if they were impersonal ‘objects'.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]I've become more callous toward people since I took this job.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]I worry that this job is hardening me emotionally.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt bottom]

[TH=class: c1, align: left]I have accomplished many worthwhile things in this job.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[/TABLE]

Demands at work

Cross the number that best describes the statement regarding your work

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Never 1[/TH]

[TH=class: Selection BorderColor c5, align: center]Sometimes 2[/TH]

[TH=class: Selection BorderColor c6, align: center]Often 3[/TH]

[TH=class: Selection BorderColor c7 last, align: center]Very often 4[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Work is carried out under pressure of time.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]There are peaks in the work.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Staff have to work too hard.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Too much work has to be done.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]There is little time to finish the work.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]The pace of work is too high.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]The work is mentally taxing.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt bottom]

[TH=class: c1, align: left]The work is too complicated.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[/TABLE]

Demands at work continued...Please answer about the frequency about the following statements completing the following phrase:

In your work, you are confronted with...

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Never 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Seldom 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Sometimes 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Often 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Always 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]...death[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]…illness or any other human suffering?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]…aggressive clients?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]…unfriendly clients?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]…clients with unrealistic expectations?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]...pathetic clients?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]…troublesome clients?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Control at work

Can you indicate to what extent you have control over

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Never 1[/TH]

[TH=class: Selection BorderColor c5, align: center]Sometimes 2[/TH]

[TH=class: Selection BorderColor c6, align: center]Often 3[/TH]

[TH=class: Selection BorderColor c7 last, align: center]Very often 4[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]The planning of your work?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Additional tasks related to your work?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Working relations?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt bottom]

[TH=class: c1, align: left]Defining responsibilities that form part of your work?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

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The following questions concern the influence your private situation has on your job

How often does is happen that….

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[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Never 1[/TH]

[TH=class: Selection BorderColor c5, align: center]Sometimes 2[/TH]

[TH=class: Selection BorderColor c6, align: center]Often 3[/TH]

[TH=class: Selection BorderColor c7 last, align: center]Always 4[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]…you have difficulty concentrating on your work because you are preoccupied with domestic matters?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]…the situation at home makes you so irritable that you take your frustrations out on your colleagues?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]…problems with your spouse/family/friends affect your job performance?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt bottom]

[TH=class: c1, align: left]…you do not feel like working because of problems with your spouse/family/friends?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[/TABLE]

Domestic work 1

The following questions concern the details of housework and other work at home (also concerns care/supervision/activities related to children, the aged, sick relatives or relations).

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]I do the most 1[/TH]

[TH=class: Selection BorderColor c5, align: center]My partner does the most 2[/TH]

[TH=class: Selection BorderColor c6, align: center]Another adult in the household does the most 3[/TH]

[TH=class: Selection BorderColor c7, align: center]My partner and I share the work roughly equally 4[/TH]

[TH=class: Selection BorderColor c8, align: center]Another Adult in the Household and I hare the work roughly equally 5[/TH]

[TH=class: Selection BorderColor c9, align: center]Other distribution of the work 6[/TH]

[TH=class: Selection BorderColor c10 last, align: center]I/we purchase domestic services for most of the work 7[/TH]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]How is the housework and other work at home shared out?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8, align: center][/TD]

[TD=class: c9, align: center][/TD]

[TD=class: c10 last, align: center][/TD]

[/TR]

[/TABLE]

Domestic work 2

The following questions concern the details of housework and other work at home (also concerns care/supervision/activities related to children, the aged, sick relatives or relations).

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]To a very high degree 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]To a high degree 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Partly 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]To a slight degree 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]To a very slight degree 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]To what degree are you satisfied with the distribution of the housework and other work at home?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]To what degree to you experience a conflict between your paid work and housework or other work at home?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]To what degree is your work negatively affected by the demands of your housework and other work at home?[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Domestic Work 3:

Questions below deal with household tasks in your home situation, excluding household tasks which you are doing at work.

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Fully disagree 1[/TH]

[TH=class: Selection BorderColor c5, align: center]Somewhat disagree 2[/TH]

[TH=class: Selection BorderColor c6, align: center]Somewhat agree 3[/TH]

[TH=class: Selection BorderColor c7 last, align: center]Fully Agree 4[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]By doing domestic tasks, I learn new things.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Some domestic tasks are a challenge to me.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Completing the domestic tasks gives me the feeling that I really can achieve something.[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[/TABLE]

Social support 1How would you describe your relationship with:

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Not applicable 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Bad 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Moderate 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Good 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Very Good 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Supervisor[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Colleague[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Partner[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Family[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Friends[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Social Support 2How often do you have conflicts with:

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Not applicable 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Never 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Every now and then 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Often 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Very often 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Supervisor[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Colleague[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Partner[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Family[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Friends[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Social Support 3If there are problems at work, can you talk about them with your:

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Not Applicable 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Never 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Not often 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Most of the time 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Always 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Supervisor[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Colleague[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Partner[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Family[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Friends[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Social support 4When you have difficulties in your work to what extent can you count on:

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Not Applicable 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Never 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Not often 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Most of the time 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Always 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Supervisor[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Colleague[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Partner[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Family[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Friends[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Social support 5Do you feel appreciated in your work by

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, width: 15%, align: center]Not Applicable 1[/TH]

[TH=class: Selection BorderColor c5, width: 15%, align: center]Never 2[/TH]

[TH=class: Selection BorderColor c6, width: 15%, align: center]Not often 3[/TH]

[TH=class: Selection BorderColor c7, width: 15%, align: center]Most of the time 4[/TH]

[TH=class: Selection BorderColor c8 last, width: 15%, align: center]Always 5[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Supervisor[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Colleague[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Partner[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Family[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Friends[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7, align: center][/TD]

[TD=class: c8 last, align: center][/TD]

[/TR]

[/TABLE]

Gender characteristics

How would you describe yourself?

Can you indicate for each characteristic to what extent it is applicable to yourself?

[TABLE=class: ChoiceStructure, width: 739]

[TR=class: Answers]

[TD=class: c1 BorderColor][/TD]

[TH=class: Selection BorderColor c4, align: center]Hardly 1[/TH]

[TH=class: Selection BorderColor c5, align: center]Somewhat[/TH]

[TH=class: Selection BorderColor c6, align: center]Strongly[/TH]

[TH=class: Selection BorderColor c7 last, align: center]Very strongly[/TH]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Discrete[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Jovial[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Great capacity for abstraction[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Ambitious[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Logical thinking[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Attractive[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Dominant[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Spontaneous[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Self-confident[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Understanding[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Dependent[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Good-natured[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Hypersensitive[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Rational[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow]

[TH=class: c1, align: left]Daring[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow ReadableAlt]

[TH=class: c1, align: left]Emotional[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[TR=class: ChoiceRow bottom]

[TH=class: c1, align: left]Serious[/TH]

[TD=class: c4, align: center][/TD]

[TD=class: c5, align: center][/TD]

[TD=class: c6, align: center][/TD]

[TD=class: c7 last, align: center][/TD]

[/TR]

[/TABLE]

How long have you worked at the organization (put a cross below the correct answer)

  • 0-6 months
  • 7-11 months
  • 1-2 years
  • 3-5 years
  • 6-10 years
  • 11-15 years
  • 16-20 years
  • 21+ years

How long have you worked in your present job in this organization? (put a cross below the correct answer)

  • 0-6 months
  • 7-11 months
  • 1-2 years
  • 3-5 years
  • 6-10 years
  • 11-15 years
  • 16-20 years
  • 21+ years

How would you rate your general health to be?

  • 1 Very good
  • 2 Good
  • 3 Neither good nor bad
  • 4 Bad
  • 5 Very bad

Number of sick leave days during the last year (Jan.2016-Dec.2016)?

Up Vote Up Vote ×
Specializes in Emergency Department.

Would it not be simpler to set up a Survey Monkey account?

SurveyMonkey: Free online survey software & questionnaire tool

Up Vote Up Vote ×
Specializes in ER.
Would it not be simpler to set up a Survey Monkey account?

SurveyMonkey: Free online survey software & questionnaire tool

Or at least present it in a format where we can just tick boxes.

nobody is going to work through a survey that they have to cut and paste, etc.

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