General Information?What is your role?What department do you work in?Which location do you work at?How long have you worked here?How long have you been in your current roleHave you suffered from work-related stress, anxiety or depression in the last year Yes No N/A Have you taken time off work due to work-related stress, depression or anxiety in the last year Yes No N/A Work Environment?I know what is expected of me at work Yes No N/A ?I work in very intense conditions Yes No N/A I am clear of my duties and responsibilities Yes No N/A I am clear of the goals and objectives of my department Yes No N/A There is friction or anger between collegues Yes No N/A I have flexibility in how I how wish to do my work Yes No N/A I understand how my work fits into the overall aim of the organisation Yes No N/A I have flexibility in the way I wish to do my work Yes No N/A I have flexibility in what I do at work Yes No N/A I receive the respect at work I deserve from my colleagues Yes No N/A I am subject to bullying at work Yes No N/A Relationships at work are strained Yes No N/A I am subject to personal harassment in the form of unkind words or behaviour Yes No N/A Support SystemI don't know how to carry out my job Yes No N/A . If work gets difficult, my colleagues will help Yes No N/A I receive supportive feedback on the work I carry out Yes No N/A I can rely on my line manager to help me out with any work problems Yes No N/A I get help and support from colleagues when I need it Yes No N/A I have many opportunities to question managers about change at work Yes No N/A Staff are always consulted about change at work Yes No N/A I can talk to my line manager about something that has upset or annoyed me about work Yes No N/A My colleagues are willing to listen to my work-related problems Yes No N/A I am supported through emotionally demanding work Yes No N/A There is encourgement from line managers at work Yes No N/A I obtain tasks from different groups of work that are challanging to combine Yes No N/A Time ManagementI am able to decide when to take a break Yes No N/A I have unachievable deadlines Yes No N/A I am able to determine my own work speed Yes No N/A I have to neglect some tasks as I have too much to do Yes No N/A . I am unable to take an acceptable amount of breaks Yes No N/A I am pressured to work long hours Yes No N/A I have to work at a very fast pace Yes No N/A I have unrealistic time pressures Yes No N/A I have flexibility in my working hours Yes No N/A
