Survey - WEST
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ONLINE SURVEY
Yes
No
Yes
No
Yes, I have used it once
Yes, I have used it twice
Yes, I have used it more than twice
No, I haven't used it
Yes, pls go to #5
No
1 week
2 weeks
3 weeks
more than 3 weeks
Yes
No
Does not apply
Yes, because of stressors at work
Yes, because of stressors regarding personal/family issues
No, I changed jobs because of other reasons
Boss or co-workers' emotions affected my performance;
My job responsibilities changed and I was not able to follow:
I was not given enough details to complete a task with success;
I was given too much work to do and I feel job is never complete;
Family-related concerns affected my performance at work. i.e. quarrels with spouse;
Co-corkers are not cooperative and they made my job difficult;
My working environment is too noisy and I often lose focus;
I perform better during the day (or night), but I was put on night (or day) shift
Others. Please specify below.
below 20 years old
21-25 years old
26-30 years old
31-35 years old
36-40 years old
41-45 years old
46-50 years old
51-55 years old
56-60 years old
over 60 years old
Male
Female
High school
Vocational/Trade school
Bachelor's degree
Master's degree
Doctoral degree
Postdoctoral
10,000 - 20,000
20,001 - 30,000
30,001 - 40,000
40,001 - 50,000
50,001 - 60,000
60,001 - 70,000
70,001 - 80,000
above 80,000
Yes
No
Yes
No
Unsure
Yes
No
Yes
No
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