Job Stress Survey Template

Stress leads to dissatisfaction and quitting.


   
 
What is the most stressful aspect of your job?
   
 
   
How long have you had this particular job stress?
 
Less Than A Month
 
1-3 Months
 
4-6 Months
 
6 months - 1 year
 
More than 1 year
 
   
How would you rate the level of your job stress?
 
Mild
 
Moderate
 
Severe
 
Extreme
 
   
How many attempts have you made to relieve your job stress or solve the problem causing it?
 
None
 
One
 
Two
 
Three or more
 
   
Is your job stress caused by your relationship with another employee?
 
Yes
 
No
 
   
If your job stress doesn't involve another person, is it caused by the:
 
Volume of work
 
Nature of the job and its responsibilities
 
Physical work environment
 
Personal health issue
 
Other
   
 
   
What industry do you work in?
 
Trades/Skilled Labor
 
Education/Academia
 
Full Time Student
 
Technical
 
Service
 
Health/Medical Care
 
Other
    
 
   
What is your job title?
   
 
   
 
What are the positive aspects of your job?
   
 

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