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ACADEMIC RESEARCH SURVEY Trainee Roll No: ----------------

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I am a research scholar at Hailey College of Commerce, Punjab University Lahore. I am conducting a research
on “Family incivility and Employee thriving at work: A Moderated Mediation Model of Psychological Distress
and Core Self-Evaluation”. This questionnaire is designed to elicit your response. You are requested to spare
your precious time to complete this survey as it will not take more than 10 minutes of yours to complete it.
Your specific answers will be completely anonymous & confidential, but your views, in combination with
those of others, are extremely important. Your cooperation is highly appreciated. Thanks once again for your
time and cooperation.
Thanking in Anticipation!

Demographical Information

Age

Gender Male Female

Marital status Married Unmarried Widow Divorced

Prof.
Bachelors Masters Qualification
Qualification

Designation/Level of Job

Experience with Current Organization 1yrs-5yrs 5yrs-10yrs 10yrs-15yrs More than 15yrs
Total Career Experience 1yrs-5yrs 5yrs-10yrs 10yrs-15yrs More than 15yrs
Last 3 digits of your phone number

The following section covers the questions on your views about Family incivility. Record your responses on 1-5 scale given
below:
Not at all Once or twice Sometimes Often Many times
1 2 3 4 5
How often someone in your family has done to you in the
past 30 days.
FI1 Put you down or was condescending (disrespectful attitude) to you 1 2 3 4 5
FI2 Paid little attention to your statement or showed litle interest in your opinion 1 2 3 4 5
FI3 Made demeaning or degrading comments about you 1 2 3 4 5
FI4 Ignored or exclude you from social activities 1 2 3 4 5
FI5 Doubted your judgement on a matter over which you have responsibility 1 2 3 4 5
FI6 Made unwanted attempts to draw you into a discussion of personal matters 1 2 3 4 5

The following section covers the questions on your views about how often you self-evaluate in the past month Record
your responses on 1 – 5 scale given below:
Strongly disagree Disagree Neutral Agree Strongly agree
1 2 3 4 5
CSE7 I am confident I get success I deserve in life 1 2 3 4 5
CSE8 When I try, I generally succeed 1 2 3 4 5
CSE9 Sometimes when I fail to succeed I feel worthless 1 2 3 4 5
CSE10 I complete tasks successfully 1 2 3 4 5
CSE11 Somestimes, I donot feel in control of my work 1 2 3 4 5
CSE12 I am capable of coping with most of my problems 1 2 3 4 5
CSE13 Overall, I am satisfied with myself 1 2 3 4 5
CSE14 I determine what will happen in my life 1 2 3 4 5
CSE15 Sometimes, I feel depressed 1 2 3 4 5
CSE16 I am filled with doubts about my competence 1 2 3 4 5
CSE17 I donot feel in control of my success in my career 1 2 3 4 5
CSE18 There are many times when things look pretty bleak and hopeless to me 1 2 3 4 5