START

For the following questions, please select the option that you think fits you the best.

40questions3minutes

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Q1 - Q10

Q1I can't wake up refreshed in the morning.

Agree
Disagree

Q2I am losing weight.

Agree
Disagree

Q3I get tired easily.

Agree
Disagree

Q4Meeting people feels burdensome.

Agree
Disagree

Q5I get irritated by trivial things.

Agree
Disagree

Q6I always have to think about work during working hours.

Agree
Disagree

Q7There is someone I dislike at school or work.

Agree
Disagree

Q8My shoulders and neck are stiff.

Agree
Disagree

Q9I feel that my breathing is shallow.

Agree
Disagree

Q10I have trouble falling asleep and often wake up during the night.

Agree
Disagree
Q11 - Q20

Q11My motivation for work has decreased.

Agree
Disagree

Q12I have headaches.

Agree
Disagree

Q13My hands and feet feel cold.

Agree
Disagree

Q14I still feel tired even after sleeping.

Agree
Disagree

Q15I am irritable with family and friends.

Agree
Disagree

Q16My job does not suit me.

Agree
Disagree

Q17I frequently experience dizziness and lightheadedness.

Agree
Disagree

Q18I have no appetite.

Agree
Disagree

Q19I can't work at my own pace.

Agree
Disagree

Q20My eyes tire easily.

Agree
Disagree
Q21 - Q30

Q21I feel mentally overwhelmed.

Agree
Disagree

Q22I work long hours.

Agree
Disagree

Q23I am struggling financially.

Agree
Disagree

Q24I feel weak.

Agree
Disagree

Q25I've been feeling down for no apparent reason.

Agree
Disagree

Q26I have a lot of stress from personal relationships.

Agree
Disagree

Q27There is constant pressure to finish work on time.

Agree
Disagree

Q28I often have vivid dreams.

Agree
Disagree

Q29I frequently have a stuffy nose.

Agree
Disagree

Q30I find no fulfillment in my job.

Agree
Disagree
Q31 - Q40

Q31I experience palpitations and shortness of breath.

Agree
Disagree

Q32I think the workload exceeds my capacity.

Agree
Disagree

Q33I frequently get mouth ulcers.

Agree
Disagree

Q34I experience ringing in my ears.

Agree
Disagree

Q35I have stopped caring about my appearance.

Agree
Disagree

Q36The atmosphere at work is not good.

Agree
Disagree

Q37I feel intense fatigue that does not easily go away.

Agree
Disagree

Q38My self-esteem has decreased.

Agree
Disagree

Q39My workplace conditions are inadequate (noise, lighting, temperature, ventilation).

Agree
Disagree

Q40I spend too much time indoors and do not go outside.

Agree
Disagree