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Questionnaire For Stress Management in an Organization is as follows:
Personal Information
A. Name of company: ________________________________________
B. Age: 20 – 25 yrs [ ] 25-40 yrs [ ] 40 – 60yrs [ ]
C. Education: _____________________
D. Marital Status: I) Married ii) Unmarried iii) Widow IV) Divorcee
E. If married, Do you have children? Yes / No
F. If Yes, Number of children: ______
G. Family type: Joint / Nuclear
H. Professional information
1. Number of years of work experience: _________yrs
2. Number of years in present organization: _________yrs
I. Level in Management:
Junior level ( )
Middle level ( )
Senior level ( )
Q1. Is work culture supportive in your organization?a. Mostlyb. Rarelyc. Sometimesd. Not at all
Q2. How often you face stress Situation in your organization.?a. Mostlyb. Rarelyc. Sometimesd. Not at all
Q3. Most of your Stress are related to :a. Work Environmentb. Supervisionc. Workgroupd. Social Injustice
Q4. How do you feel while working in the organization?a. Greatb. Satisfiedc. Unable to concentrated. Frustratede. Depressed
Q5. Have you taken leave in the past 12 months due to work related stress?a. Yesb. No
Q6. Please estimate the average number of hours per week that you work (both on and off site) during term time.a. 40 – 50b. 50 – 60c. 60 – Above
Q7. Please indicate total workload has changed during last three years?a. Workload has decreasedb. Remained thec. Samed. Workload increased
Q8 Stress is related to Demand?a. Dealing with Customers/ Colleaguesb. Administrationc. Need to hit targets/deadlinesd. Long working hours
Q9 Stress related to Support ?a. Feeling work not valuedb. Lack of management supportc. Over competitive/ confrontational institutional cultured. Incentive Policy
Q10. Whom does you report / share if you have any problems in your work ?a. Superiorb. Colleagues (discussion)c. Function Headd. Head of HR department
Q11. How often you face stress situation being taken care off ?a. Mostlyb. Rarelyc. Frequentlyd. Not at all
Q12 How do you handle Stress situations?a. Optimisticallyb. With the help of othersc. Depends upon level
Q13. To what level the Management is effective in handling your Stress situation?a. Completelyb. To a certain extentc. To a satisfactoryd. Not at all
Q14. Does the upper Management pressure main reason for stress ?a. Yesb. No
Type 2
1. Please read the following statements and give any one of the scores mentioned below:
1. Strongly Agree 2. Agree 3. Neutral 4. Disagree 5. Strongly Disagree
Sr.No Score1. I worry about the lay offs and dismissal in the company.2. I am able to meet out the demands of my job.3. Computers, pagers, cell phones and Internet have resulted in increasing
pressure to constantly work at high performance levels.4. I feel comfortable to work with latest technologies in the organization.5. There is constant force on employees to learn new software all the times.6. I am able to receive support from my boss, colleagues and juniors.7. I am able to receive good support from my family members.8. I usually miss out quality time with my family and friends because of
pressure of work.9. I suffer from stress related diseases like hypertension, obesity, diabetes,
frequent headaches, etc10. I experience excessive work load.11. I work for long hours, on overtime and even on holidays.
2. From the following tick the factor that motivates you to work.
Personal satisfactionFinancial independenceSupport from familyConstructive utilization of timeIf Other (please specify)
3. Which of the following discrimination do you have ever feel at your work because of being a woman?
Factors Stronglyagree
Agree Neutral Disagree StronglyDisagree
No/Less promotion opportunitiesLack of MentoringLess access to important informationLack of clear responsibilities and dutiesLack of career development opportunities
4. Working Hours
Ø How the following factors hinder or affect you in balancing your work and family commitments? (Tick the appropriate)
Factors Does notaffect
Affectsometimes
Affect Manytimes
Alwaysaffects
Hours of workOvertimeNeed to work on HolidaysWork from home after office
hoursTraveling away from home
Ø Rank according to their importance, the following factors, which will help you, balance your work and family commitments.
(Rank from 1 to 5, with 1 being the most important)
Factors Ranks
More flexible working hours ( )
Work from home ( )
Time off for family emergencies & events ( )
Time off during school holidays (if you are a mother) ( )
Job sharing ( )
5. Support from others
Ø How the following factors hinder or affect you in balancing your work and family commitments? (Tick the appropriate)
Factors Does notaffect
Affectsometimes
Affect Manytimes
Alwaysaffects
Negative attitude ofsupervisorsNegative attitude ofcolleagues
Negative attitude ofspouse/familyExcessive householdwork
Ø Rank the following factors that will help you balance your work and family commitments.
(Rank from 1 to 5, with 1 being the most important)
Factors Ranks
Support from spouse ( )
Support from family ( )
Support from supervisor ( )
Support from colleagues ( )
Decrease in the load of household work ( )
6. Does your organization currently provide any of the work-life policies or programs?
Ø Yes
Ø No
If yes which policies/programs? ______________________
7. Do you engage yourself in your own stress relieving and entertainment program?
Ø Yes
Ø No
If yes specify from the following
1. Yoga 2. Physical exercise 3. Meeting Friends and relatives 4. Watching Television 5. Other