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1. Employment data.
Which area are you attach to?
 
AU nurse
 
OTT techincian
 
Scrub nurse
 
PACU
 
TSSU
 
 
 
2. Working shift patterns.
Do you work shift hours?
 
Yes
 
No
 
 
 
If your answer is yes, plese answer the following questions.
A) I work at least 3 on-calls/ night duty per month.
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
B) I do not get enought rest the following day after a 16 hrs duty
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
C) I do not get enough rest the following day after a 24 hrs duty
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
D) I do not get enough rest the following day after
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
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