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Never Rarely Sometimes Often Very often

Conditions at
work are
unpleasant or
sometimes
even unsafe
I feel that my
job is
negatively
affecting my
physical or
emotional
well-being.
I have too
much work to
do an/or too
many
unreasonable
deadlines.
I find it
difficult to
express my
opinions or
feelings about
my job
conditions to
my superiors.
I feel that job
pressures
interfere with
my family or
personal life.
I have
adequate
control or
input over my
work duties.
I receive
appropriate
recognition or
rewards for
good
performance.
I am able to
utilitze my
skills and
talents to the
fullest extent
at work.

How often are you


allowed to change your
starting and quitting
times on a daily basis?

How often do the


demands of your job
interfere with your
family life?
How often do the
demands of your family
interfere with your
work on the job?

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