English
English
Japanese
Portuguese
Spanish
THE BRIEF JOB STRESS QUESTIONNAIRE
(57 Questions)
Name
Email
Please answer the following questions concerning your job by circling the number that best fits your situation.
1.I have an extremely large amount of work to do
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
2- I can't complete work in the required time
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
3- I have to work as hard as I can
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
4- I have to pay very careful attention
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
5-My job is difficult in that it requires a high level of knowledge and technical skill
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
6- I need to be constantly thinking about work throughout the working day
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
7- My job requires a lot of physical work
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
8- I can work at my own pace
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
9- I can choose how and in what order to do my work
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
10- I can reflect my opinions on workplace policy
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
11- My knowledge and skills are rarely used at work
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
12-There are differences of opinion within my department
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
13- My department does not get along well with other departments
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
14- The atmosphere in my workplace is friendly
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
15- My working environment is poor (e.g. noise, lighting, temperature, ventilation)
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
16- This job suits me well
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
17- My job is worth doing
1-Very much so
2- Moderately so
3- Somewhat
4- Not at all
B. Please answer the following questions concerning your health during the past month by circling the number that best fits your situation.
1- I have been very active
1- Almost never
2- Sometimes
3- Often
4-Almost always
2-I have been full of energy
1- Almost never
2- Sometimes
3- Often
4-Almost always
3- I have been lively
1- Almost never
2- Sometimes
3- Often
4-Almost always
4- I have felt angry.
1- Almost never
2- Sometimes
3- Often
4-Almost always
5- I have been inwardly annoyed or aggravated
1- Almost never
2- Sometimes
3- Often
4-Almost always
6- I have felt irritable
1- Almost never
2- Sometimes
3- Often
4-Almost always
7- I have felt extremely tired
1- Almost never
2- Sometimes
3- Often
4-Almost always
8- I have felt exhausted
1- Almost never
2- Sometimes
3- Often
4-Almost always
9- I have felt weary or listless
1- Almost never
2- Sometimes
3- Often
4-Almost always
10- I have felt tense
1- Almost never
2- Sometimes
3- Often
4-Almost always
11- I have felt worried or insecure
1- Almost never
2- Sometimes
3- Often
4-Almost always
12-I have felt restless
1- Almost never
2- Sometimes
3- Often
4-Almost always
13- I have been depressed
1- Almost never
2- Sometimes
3- Often
4-Almost always
14- I have thought that doing anything was a hassle
1- Almost never
2- Sometimes
3- Often
4-Almost always
15- I have been unable to concentrate
1- Almost never
2- Sometimes
3- Often
4-Almost always
16- I have felt gloomy
1- Almost never
2- Sometimes
3- Often
4-Almost always
17- I have been unable to handle work
1- Almost never
2- Sometimes
3- Often
4-Almost always
18- I have felt sad
1- Almost never
2- Sometimes
3- Often
4-Almost always
19- I have felt dizzy.
1- Almost never
2- Sometimes
3- Often
4-Almost always
20- I have experienced joint pains
1- Almost never
2- Sometimes
3- Often
4-Almost always
21- I have experienced headaches
1- Almost never
2- Sometimes
3- Often
4-Almost always
22- I have had a stiff neck and / or shoulders
1- Almost never
2- Sometimes
3- Often
4-Almost always
23- I have had lower back pain
1- Almost never
2- Sometimes
3- Often
4-Almost always
24- I have had eyestrain
1- Almost never
2- Sometimes
3- Often
4-Almost always
25- I have experienced heart palpitations or shortness of breath
1- Almost never
2- Sometimes
3- Often
4-Almost always
26- I have experienced stomach and / or intestine problems
1- Almost never
2- Sometimes
3- Often
4-Almost always
27- I have lost my appetite
1- Almost never
2- Sometimes
3- Often
4-Almost always
28- I have experienced diarrhea and / or constipation
1- Almost never
2- Sometimes
3- Often
4-Almost always
29- I haven’t been able to sleep well
1- Almost never
2- Sometimes
3- Often
4-Almost always
C. Please answer the following questions concerning satisfaction by circling the number that best fits your situation.
How freely can you talk with the following people?
1- Superiors
1- Extremely
2- Very much
3- Somewhat
4- Not at all
2-Co-workers
1- Extremely
2- Very much
3- Somewhat
4- Not at all
3- Spouse, family, friends, etc.
1- Extremely
2- Very much
3- Somewhat
4- Not at all
How reliable are the following people when you are troubled?
4- Superiors
1- Extremely
2- Very much
3- Somewhat
4- Not at all
5- Co-workers
1- Extremely
2- Very much
3- Somewhat
4- Not at all
6- Spouse, family, friends, etc.
1- Extremely
2- Very much
3- Somewhat
4- Not at all
How well will the following people listen to you when you ask for advice on personal matters?
7- Superiors
1- Extremely
2- Very much
3- Somewhat
4- Not at all
8- Co-workers
1- Extremely
2- Very much
3- Somewhat
4- Not at all
9- Spouse, family, friends, etc.
1- Extremely
2- Very much
3- Somewhat
4- Not at all
D- Please answer the following questions concerning satisfaction by circling the number that best fits your situation.
1- I am satisfied with my job
1- Satisfied
2- Somewhat satisfied
3- Somewhat dissatisfied
4- Dissatisfied
2- I am satisfied with my family life
1- Satisfied
2- Somewhat satisfied
3- Somewhat dissatisfied
4- Dissatisfied
Send
English 
Japanese 
Portuguese 
Spanish