Start
hcs_1_home_3
HERTFORDSHIRE 31-39 SOCIAL HEALTH QUESTIONNAIRE

Name:

Generic text

Address:

Long text

Telephone:

Generic text

GP

Generic text

Date questionnaire received:

Generic date
SECTION 1 SOCIAL LIFE
Activities and Hobbies
Researchers working with us on the effect stress has on health would be most grateful if you would take a few minutes to complete this questionnaire. All answers will be treated confidentially.
If there is a number by the side of the reply which best reflects your answer, please enter it in the box to the right of each question. If not, please tick the box next to your reply.
Please tell us how often you have taken part in the following activities in the last 12 months. If an activity does not apply to you please enter 0 in the box.
- If yes,

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

Religious activities/observance
Positions of office, school governor, councillor etc.
Involvement in clubs and organisations, voluntary or official
Courses and education/evening classes
Cultural visits to stately homes, galleries, theatres, cinema or live music events
Social indoor games, cards, bingo, chess etc.
Visiting friends and relatives
Going to pubs and social clubs
Individual occupations, eg reading, listening to music
Household tasks e.g. DIY, maintenance, decorating
Practical activities, making things with your hands eg pottery, drawing etc.
Gardening

Please tell us how often you have taken part in the following activities in the last 12 months. If an activity does not apply to you please enter 0 in the box. Using a home computer for leisure

0
No
1
Yes
If yes,
qc_1_m == 1

hours per week

Hours in week
This section concerns people in your life who you feel close to and from whom you can obtain support (either emotional or practical) including close relatives and good friends

How many people do you feel very close to? (It does not matter where they live or whether you have seen them recently).

How many

Who have you felt closest to in the last 12 months? Please describe in terms of their relationship to you: (e.g. WIFE, SON, AUNT, BOYFRIEND, MALE FRIEND, FEMALE FRIEND). Remember these are just examples and we would like you to write in whoever you feel closest to. Closest

Generic text
Thinking about the person you are closest to, please tell us how you would rate the practical and emotional support they have provided for you IN THE LAST 12 MONTHS

How much in the last 12 months did this person give you information, suggestions and guidance that you found helpful?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months could you rely on this person (was this person there when you needed him/her)?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did this person make you feel good about yourself?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did you share interests, hobbies and fun with this person?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did this person give you worries, problems and stress?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did you want to confide in (talk frankly, share feelings with) this person?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did you confide in this person?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did you trust this person with your most personal worries and problems?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months would you have liked to have confided more in this person?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did talking to this person make things worse?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did he/she talk about , his/her personal worries with you?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did you need practical help from this person with major things (e.g. look after you when ill, help with finances, children)?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did this person give you practical help with major things?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months would you have liked more practical help with major things from this person?

1
Not at all
2
A little
3
Quite a lot
4
A great deal

How much in the last 12 months did this person give you practical help with small things when you needed it? (e.g. chores, shopping, watering plants etc.)

1
Not at all
2
A little
3
Quite a lot
4
A great deal

Are there any relatives outside your household with whom you have regular contact (either by visit, telephone or letters)? (Not necessarily the same person each time)

1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
6
No relatives Outside household
If you have no relatives outside your household please go to Q5
qc_4_a == 6
Else

How often do you regularly visit or are visited by these relatives?

1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
6
No relatives Outside household

How many relatives do you see once a month or more?

1
None
2
1-2
3
3-5
4
6-10
5
More than 10

Are there any friends or acquaintances with whom you have regular contact (either by visit, telephone or letters)? (Not necessarily the same time)

1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never

How often do you regularly visit or are visited by these friends or acquaintances?

1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never

How many friends and acquaintances do you see once a month or more?

1
None
2
1-2
3
3-5
4
6-10
5
More than 10
How much do you agree or disagree with the following statements?
-

1 - DISAGREE: Strongly

2 - DISAGREE: Moderately

3 - DISAGREE: Slightly

4 - AGREE: Slightly

5 - AGREE: Moderately

6 - AGREE: Strongly

At home, I feel I have control over What happens in most situations
At work, I feel I have control over what happens in most situations
I feel that what happens in my life Is often determined by factors Beyond my control
Over the next 5-10 years I expect to have many more positive than Negative experiences
Keeping healthy depends on the things that I do.
There are certain things I can do for myself to reduce the risk of heart attack.
There are certain things I can do for myself to reduce the risk of getting cancer.
SECTION 2 WORK
The following section concerns aspects of your current or previous employment.

What statement best describes your employment status?

1
Currently working
2
I used to work but I have now stopped working
3
I have never worked
Thank you for filling in this questionnaire
If Currently working to question Q7 Please go to Q8
qc_7 == 1
The following questions are about your work. For each please indicate the one answer that best describes your job or the way you deal with problems occurring at work.
Please answer all questions
Concerning your particular work:
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never/Almost never

Do you have to work very fast?
Do you have to work very intensively?
Do you have enough time to do everything?
Do you have the possibility of learning new things through your work?
Does your work demand a high level of skill or expertise?
Does your job require you to take the initiative?
Do you have to do the same thing over and over again?
Do you have a choice in deciding HOW you do your work?
Do you have a choice in deciding WHAT you do at work?
About your position at work - how often do the following statements apply?
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never/Almost never

Others take the decisions concerning my work
I have a good deal to say in decisions about work
I have a say in my own work speed
My working time can be flexible
I can decide when to take a break
I have a say in choosing with whom I work
I have a great deal of say in planning my working environment
About consistency and clarity regarding your job.
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Do different groups at work demand things from you that you think are hard to combine?
Do you get sufficient information from line management (your superiors)?
Do you get consistent information from line management (your superiors)?

Regarding your job involvement. Does your job provide you with a variety of interesting things?

1
Often
2
Sometimes
3
Seldom
4
Never

Regarding your job involvement. Is your job boring?

1
Often
2
Sometimes
3
Seldom
4
Never
When you are having difficulties at work:
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

How often do you get help and support from your colleagues?
How often are your colleagues willing to listen to your work related problems?
How often do you get help and support from your immediate superior?
How often is your immediate superior willing to listen to your problems?

About your job in general. How satisfied have you been with the following? Your job as a whole, taking everything into consideration?

1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied

Do you agree with the following statement? I have constant time pressure due to a heavy workload

0
No
1
Yes
If you agree,
qc_14_a == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? I have many interruptions and disturbances in my job

0
No
1
Yes
If you agree,
qc_14_b == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? I have a lot of responsibility in my job

0
No
1
Yes
If you agree,
qc_14_c == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? I am often pressured to work overtime

0
No
1
Yes
If you agree,
qc_14_d == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? I have experienced or expect to experience an undesirable change in my work situation

0
No
1
Yes
If you agree,
qc_14_e == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? My job promotion prospects are poor

0
No
1
Yes
If you agree,
qc_14_f == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? My job security is poor

0
No
1
Yes
If you agree,
qc_14_g == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statement? I am treated unfairly at work

0
No
1
Yes
If you agree,
qc_14_h == 1

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree or disagree with the following statements?
-

1 - Agree

2 - Somewhat agree

3 - Somewhat disagree

4 - Disagree

If a task has to be done well I'd better take care of it myself
I can get very upset when someone hinders me in my duties
As soon as I get up in the morning, I start thinking about work problems
When I come home, I can easily relax and 'switch off' work
People close to me say I sacrifice myself too much for my job
For me, family or private life comes first, then work
Work rarely lets me go, it is still on my mind when I go to bed
Every once in a while I like it when others hold me back from working
If I postpone something that I was supposed to do today, I will have trouble sleeping at night

Do you agree with the following statements? Considering my efforts and achievements, my work prospects are adequate

1
Yes
0
No
(please note the order of 'Yes', 'No' has changed)
If you disagree,
qc_16_a == 0

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I receive the respect I deserve from my superiors and colleagues

1
Yes
0
No
If you disagree,
qc_16_b == 0

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I experience adequate support in difficult situations

1
Yes
0
No
If you disagree,
qc_16_c == 0

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? Considering all my efforts and achievements, I receive the respect and prestige I deserve at work

1
Yes
0
No
If you disagree,
qc_16_d == 0

to what extent are you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Below are some of the statements, which describe people's beliefs and attitudes and the way they might react to some situations. If the statement applies to you or describes you in general circle 1 for True. If the statement does not describe you circle "2" for False
-

1 - TRUE

2 - FALSE

When someone does me a wrong I feel I should pay him back if I can, just for the principle of the thing.
It makes me impatient to have people ask my advice or otherwise interrupt me when I am working on something important
I am not easily angered
If I used to work but I have now stopped working to question Q7 Please go to Q18
qc_7 == 2
The following questions are for people who used to work but are no longer working now

What year did you stop working?

Generic date

Why did you stop working?

1
Normal retirement
2
Retirement on the grounds of ill health
3
Redundancy
4
Other please specify
Other
Thinking back to your last main occupation, the following are some questions about your work. For each question please indicate one answer that best describes your job or the way you deal with problems occurring at work.
Please answer all questions.
About your position at work - how often did the following statements apply?
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Did you have to work very fast?
Did you have to work very intensively?
Did you have time to do everything?
Did you have the possibility of learning new things through your work?
Did your work demand a high level of skill or expertise?
Did your job require you to take the initiative?
Did you have to do the same thing over and over again?
Did you have a choice in deciding HOW you did your work?
Did you have a choice in deciding WHAT you did at work?
About your position at work - how often do the following statements apply?
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Others took decisions concerning my work
I had a good deal of say in decisions about work
I had a say in my own work speed
My working time could have been flexible
I could decide when to take a break
I had a say in choosing with whom I work
I had a great deal of say in planning my work environment
About consistency and clarity regarding your job.
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Did different groups at work demand things from you that you thought hard to combine?
Did you get sufficient information from line management (your superiors)?
Did you get consistent information from line management (your superiors)?

Regarding your job involvement. Did your job provide you with a variety of interesting things?

1
Often
2
Sometimes
3
Seldom
4
Never

Regarding your job involvement. Was your job boring?

1
Often
2
Sometimes
3
Seldom
4
Never
When you were having difficulties at work.
-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

How often did you get help and support from your colleagues?
How often were your colleagues willing to listen to your work related problems?
How often did you get help and support from your immediate superior?
How often was your immediate superior willing to listen to your problems?

About your job in general. How satisfied have you been with: your job as a whole taking everything into consideration?

1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied

Do you agree with the following statements? I had constant time pressure due to a heavy work load

0
No
1
Yes
If you agree,
qc_26_a == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I had many interruptions and disturbances in my job

0
No
1
Yes
If you agree,
qc_26_b == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I had a lot of responsibility in my job

0
No
1
Yes
If you agree,
qc_26_c == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I was often pressured to work overtime

0
No
1
Yes
If you agree,
qc_26_d == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I experienced an undesirable change in my work situation

0
No
1
Yes
If you agree,
qc_26_e == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? My job promotion prospects were poor

0
No
1
Yes
If you agree,
qc_26_f == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? My job security was poor

0
No
1
Yes
If you agree,
qc_26_g == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I was treated unfairly at work

0
No
1
Yes
If you agree,
qc_26_h == 1

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree or disagree with the following statements?
-

1 - Agree

2 - Somewhat agree

3 - Somewhat disagree

4 - Disagree

If a task had to be done well I'd better take care of it myself
I could get very upset when someone hindered me in my duties
As soon as I got up in the morning, I started thinking about work problems
When I came home, I could easily relax and 'switch off' work
People close to me said I sacrificed myself too much for my job
For me, family or private life came first, then work
Work rarely let me go, it was still on my mind when I went to bed
Every once in a while I liked it when others held me back from working
If I postponed something that I was supposed to do today, I would have trouble sleeping at night

Do you agree with the following statements? Considering my efforts and achievements, my work prospects were adequate

1
Yes
0
No
(please note the order of 'Yes', 'No' has changed)
If you disagree,
qc_28_a == 0

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I received the respect I deserved from my superiors and colleagues

1
Yes
0
No
If you disagree,
qc_28_b == 0

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? I experienced adequate support in difficult situations

1
Yes
0
No
If you disagree,
qc_28_c == 0

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree with the following statements? Considering all my efforts and achievements, I received the respect and prestige I deserved at work

1
Yes
0
No
If you disagree,
qc_28_d == 0

to what extent were you distressed by it?

3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Below are some of the statements, which describe people's beliefs and attitudes and the way they might react to some situations. If the statement applies to you or describes you in general circle 1 for True. If the statement does not describe you circle "2" for False
-

1 - TRUE

2 - FALSE

When someone does me a wrong I feel I should pay him back if I can, just for the principle of the thing.
It makes me impatient to have people ask my advice or otherwise interrupt me when I am working on something important
I am not easily angered
Thank you
End

hcs_1_home_3

HERTFORDSHIRE 31-39 SOCIAL HEALTH QUESTIONNAIRE
Name:
Generic text
Address:
Long text
Telephone:
Generic text
GP
Generic text
Date questionnaire received:
Generic date

SECTION 1 SOCIAL LIFE

Activities and Hobbies
Researchers working with us on the effect stress has on health would be most grateful if you would take a few minutes to complete this questionnaire. All answers will be treated confidentially.
If there is a number by the side of the reply which best reflects your answer, please enter it in the box to the right of each question. If not, please tick the box next to your reply.

Please tell us how often you have taken part in the following activities in the last 12 months. If an activity does not apply to you please enter 0 in the box.

- If yes,

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

0 - No

1 - Yes

3 - Weekly

4 - Monthly

5 - Less often

Religious activities/observance
Positions of office, school governor, councillor etc.
Involvement in clubs and organisations, voluntary or official
Courses and education/evening classes
Cultural visits to stately homes, galleries, theatres, cinema or live music events
Social indoor games, cards, bingo, chess etc.
Visiting friends and relatives
Going to pubs and social clubs
Individual occupations, eg reading, listening to music
Household tasks e.g. DIY, maintenance, decorating
Practical activities, making things with your hands eg pottery, drawing etc.
Gardening
Please tell us how often you have taken part in the following activities in the last 12 months. If an activity does not apply to you please enter 0 in the box. Using a home computer for leisure
0
No
1
Yes
hours per week
Hours in week
This section concerns people in your life who you feel close to and from whom you can obtain support (either emotional or practical) including close relatives and good friends
How many people do you feel very close to? (It does not matter where they live or whether you have seen them recently).
How many
Who have you felt closest to in the last 12 months? Please describe in terms of their relationship to you: (e.g. WIFE, SON, AUNT, BOYFRIEND, MALE FRIEND, FEMALE FRIEND). Remember these are just examples and we would like you to write in whoever you feel closest to. Closest
Generic text
Thinking about the person you are closest to, please tell us how you would rate the practical and emotional support they have provided for you IN THE LAST 12 MONTHS
How much in the last 12 months did this person give you information, suggestions and guidance that you found helpful?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months could you rely on this person (was this person there when you needed him/her)?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did this person make you feel good about yourself?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did you share interests, hobbies and fun with this person?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did this person give you worries, problems and stress?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did you want to confide in (talk frankly, share feelings with) this person?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did you confide in this person?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did you trust this person with your most personal worries and problems?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months would you have liked to have confided more in this person?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did talking to this person make things worse?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did he/she talk about , his/her personal worries with you?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did you need practical help from this person with major things (e.g. look after you when ill, help with finances, children)?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did this person give you practical help with major things?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months would you have liked more practical help with major things from this person?
1
Not at all
2
A little
3
Quite a lot
4
A great deal
How much in the last 12 months did this person give you practical help with small things when you needed it? (e.g. chores, shopping, watering plants etc.)
1
Not at all
2
A little
3
Quite a lot
4
A great deal
Are there any relatives outside your household with whom you have regular contact (either by visit, telephone or letters)? (Not necessarily the same person each time)
1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
6
No relatives Outside household
How often do you regularly visit or are visited by these relatives?
1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
6
No relatives Outside household
How many relatives do you see once a month or more?
1
None
2
1-2
3
3-5
4
6-10
5
More than 10
Are there any friends or acquaintances with whom you have regular contact (either by visit, telephone or letters)? (Not necessarily the same time)
1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
How often do you regularly visit or are visited by these friends or acquaintances?
1
Almost daily
2
About once a week
3
About once a month
4
Once every few months
5
Never/almost never
How many friends and acquaintances do you see once a month or more?
1
None
2
1-2
3
3-5
4
6-10
5
More than 10

How much do you agree or disagree with the following statements?

-

1 - DISAGREE: Strongly

2 - DISAGREE: Moderately

3 - DISAGREE: Slightly

4 - AGREE: Slightly

5 - AGREE: Moderately

6 - AGREE: Strongly

At home, I feel I have control over What happens in most situations
At work, I feel I have control over what happens in most situations
I feel that what happens in my life Is often determined by factors Beyond my control
Over the next 5-10 years I expect to have many more positive than Negative experiences
Keeping healthy depends on the things that I do.
There are certain things I can do for myself to reduce the risk of heart attack.
There are certain things I can do for myself to reduce the risk of getting cancer.

SECTION 2 WORK

The following section concerns aspects of your current or previous employment.
What statement best describes your employment status?
1
Currently working
2
I used to work but I have now stopped working
3
I have never worked
Thank you for filling in this questionnaire
The following questions are about your work. For each please indicate the one answer that best describes your job or the way you deal with problems occurring at work.
Please answer all questions

Concerning your particular work:

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never/Almost never

Do you have to work very fast?
Do you have to work very intensively?
Do you have enough time to do everything?
Do you have the possibility of learning new things through your work?
Does your work demand a high level of skill or expertise?
Does your job require you to take the initiative?
Do you have to do the same thing over and over again?
Do you have a choice in deciding HOW you do your work?
Do you have a choice in deciding WHAT you do at work?

About your position at work - how often do the following statements apply?

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never/Almost never

Others take the decisions concerning my work
I have a good deal to say in decisions about work
I have a say in my own work speed
My working time can be flexible
I can decide when to take a break
I have a say in choosing with whom I work
I have a great deal of say in planning my working environment

About consistency and clarity regarding your job.

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Do different groups at work demand things from you that you think are hard to combine?
Do you get sufficient information from line management (your superiors)?
Do you get consistent information from line management (your superiors)?
Regarding your job involvement. Does your job provide you with a variety of interesting things?
1
Often
2
Sometimes
3
Seldom
4
Never
Regarding your job involvement. Is your job boring?
1
Often
2
Sometimes
3
Seldom
4
Never

When you are having difficulties at work:

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

How often do you get help and support from your colleagues?
How often are your colleagues willing to listen to your work related problems?
How often do you get help and support from your immediate superior?
How often is your immediate superior willing to listen to your problems?
About your job in general. How satisfied have you been with the following? Your job as a whole, taking everything into consideration?
1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied
Do you agree with the following statement? I have constant time pressure due to a heavy workload
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? I have many interruptions and disturbances in my job
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? I have a lot of responsibility in my job
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? I am often pressured to work overtime
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? I have experienced or expect to experience an undesirable change in my work situation
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? My job promotion prospects are poor
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? My job security is poor
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statement? I am treated unfairly at work
0
No
1
Yes
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree or disagree with the following statements?

-

1 - Agree

2 - Somewhat agree

3 - Somewhat disagree

4 - Disagree

If a task has to be done well I'd better take care of it myself
I can get very upset when someone hinders me in my duties
As soon as I get up in the morning, I start thinking about work problems
When I come home, I can easily relax and 'switch off' work
People close to me say I sacrifice myself too much for my job
For me, family or private life comes first, then work
Work rarely lets me go, it is still on my mind when I go to bed
Every once in a while I like it when others hold me back from working
If I postpone something that I was supposed to do today, I will have trouble sleeping at night
Do you agree with the following statements? Considering my efforts and achievements, my work prospects are adequate
1
Yes
0
No
(please note the order of 'Yes', 'No' has changed)
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I receive the respect I deserve from my superiors and colleagues
1
Yes
0
No
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I experience adequate support in difficult situations
1
Yes
0
No
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? Considering all my efforts and achievements, I receive the respect and prestige I deserve at work
1
Yes
0
No
to what extent are you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Below are some of the statements, which describe people's beliefs and attitudes and the way they might react to some situations. If the statement applies to you or describes you in general circle 1 for True. If the statement does not describe you circle "2" for False

-

1 - TRUE

2 - FALSE

When someone does me a wrong I feel I should pay him back if I can, just for the principle of the thing.
It makes me impatient to have people ask my advice or otherwise interrupt me when I am working on something important
I am not easily angered
The following questions are for people who used to work but are no longer working now
What year did you stop working?
Generic date
Why did you stop working?
1
Normal retirement
2
Retirement on the grounds of ill health
3
Redundancy
4
Other please specify
Other
Thinking back to your last main occupation, the following are some questions about your work. For each question please indicate one answer that best describes your job or the way you deal with problems occurring at work.
Please answer all questions.

About your position at work - how often did the following statements apply?

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Did you have to work very fast?
Did you have to work very intensively?
Did you have time to do everything?
Did you have the possibility of learning new things through your work?
Did your work demand a high level of skill or expertise?
Did your job require you to take the initiative?
Did you have to do the same thing over and over again?
Did you have a choice in deciding HOW you did your work?
Did you have a choice in deciding WHAT you did at work?

About your position at work - how often do the following statements apply?

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Others took decisions concerning my work
I had a good deal of say in decisions about work
I had a say in my own work speed
My working time could have been flexible
I could decide when to take a break
I had a say in choosing with whom I work
I had a great deal of say in planning my work environment

About consistency and clarity regarding your job.

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

Did different groups at work demand things from you that you thought hard to combine?
Did you get sufficient information from line management (your superiors)?
Did you get consistent information from line management (your superiors)?
Regarding your job involvement. Did your job provide you with a variety of interesting things?
1
Often
2
Sometimes
3
Seldom
4
Never
Regarding your job involvement. Was your job boring?
1
Often
2
Sometimes
3
Seldom
4
Never

When you were having difficulties at work.

-

1 - Often

2 - Sometimes

3 - Seldom

4 - Never

How often did you get help and support from your colleagues?
How often were your colleagues willing to listen to your work related problems?
How often did you get help and support from your immediate superior?
How often was your immediate superior willing to listen to your problems?
About your job in general. How satisfied have you been with: your job as a whole taking everything into consideration?
1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied
Do you agree with the following statements? I had constant time pressure due to a heavy work load
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I had many interruptions and disturbances in my job
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I had a lot of responsibility in my job
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I was often pressured to work overtime
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I experienced an undesirable change in my work situation
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? My job promotion prospects were poor
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? My job security was poor
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I was treated unfairly at work
0
No
1
Yes
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Do you agree or disagree with the following statements?

-

1 - Agree

2 - Somewhat agree

3 - Somewhat disagree

4 - Disagree

If a task had to be done well I'd better take care of it myself
I could get very upset when someone hindered me in my duties
As soon as I got up in the morning, I started thinking about work problems
When I came home, I could easily relax and 'switch off' work
People close to me said I sacrificed myself too much for my job
For me, family or private life came first, then work
Work rarely let me go, it was still on my mind when I went to bed
Every once in a while I liked it when others held me back from working
If I postponed something that I was supposed to do today, I would have trouble sleeping at night
Do you agree with the following statements? Considering my efforts and achievements, my work prospects were adequate
1
Yes
0
No
(please note the order of 'Yes', 'No' has changed)
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I received the respect I deserved from my superiors and colleagues
1
Yes
0
No
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? I experienced adequate support in difficult situations
1
Yes
0
No
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed
Do you agree with the following statements? Considering all my efforts and achievements, I received the respect and prestige I deserved at work
1
Yes
0
No
to what extent were you distressed by it?
3
Not at all
4
Somewhat
5
Rather
6
Very distressed

Below are some of the statements, which describe people's beliefs and attitudes and the way they might react to some situations. If the statement applies to you or describes you in general circle 1 for True. If the statement does not describe you circle "2" for False

-

1 - TRUE

2 - FALSE

When someone does me a wrong I feel I should pay him back if I can, just for the principle of the thing.
It makes me impatient to have people ask my advice or otherwise interrupt me when I am working on something important
I am not easily angered
Thank you
Name

Social Health Questionnaire