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  1. Surveys
  2. 2017
  3. April
  4. H
  5. Health-Productivity Queationnaire
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Hello:
You are invited to participate in our survey on Work Productivity and Employees Health. In this survey, approximately 30 people will be asked to complete a survey that asks questions about Productivity and Health. It will take approximately 30 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Noridawati Abdul Rahman by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
What is your gender?   
 
Male
 
Female

 
 
 
Which of the following includes your age? Which of the following includes your age? 
 
Under 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64

 
 
 
What is your nationality?
 
Malaysian
 
Non-Malaysian

 
 
 
What is your race? 
 
Malay
 
Chinese
 
Indian
 
Others

 
 
 
Which of the following best describes your main occupational classificat and technicalion? 
 
Managerial
 
Professional and technical
 
Admin and clerical
 
Sales and services
 
Production, construction, operations, maintenance, material handling
 
Services

 
 
 
How would you describe your job? 
 
Full-time
 
Part-time

 
 
During the past week, how frequently did you:



1= never 2=rarely 3=sometimes 4=often 5= almost always
1 2 3 4 5
* Arrive at work late or leave work early
* Find yourself daydreaming, worrying or staring into space when you should be working?
* Have to do a job over because you made a mistake or your supervisor told you to do a job over?
* Find you have forgotten to respond to a request?
* Become annoyed with or irritated by co-workers, boss/supervisor, clients/customers/vendors or others?
* Fall asleep unexpectedly or become very sleepy while at work?
* Notice that your productivity for the time spent is lower than expected?
* Notice that your efficiency for the time spent is lower than expected?
* Fail to finish assigned tasks?
* Feel too exhausted to do your work?
 
 
The next ten questions are about how you have been feeling in the past four weeks.



1= None of the time 2= A little of the time 3= Some of the time 4= Most of the time 5= All of the time
1 2 3 4 5
* In the past four weeks, about how often did you feel tired for no good reason?
* In the past four weeks, about how often did you feel nervous?
* In the past four weeks, about how often did you feel so nervous that nothing could calm you down?
* In the past four weeks, about how often did you feel hopeless?
* In the past four weeks, about how often did you feel restless or fidgety?
* In the past four weeks, about how often did you feel so restless you could not sit still?
* In the past four weeks, about how often did you feel depressed?
* In the past four weeks, about how often did you feel that everything was an effort?
* In the past four weeks, about how often did you feel so sad that nothing could cheer you up?
* In the past four weeks, about how often did you feel worthless?
 
Thank you for your time.