QUESTIONNAIRE ON STRESS LEVEL

Respected Sir/Madam,
I have conducted a research on my major research project subject “To compare the study of Stress in Public and
Private sector Banks employees”. So, please kindly fill this schedule and help me in completion of my major
research project.

Name:……………………………………….Occupation………………………………….
Address: …………………………………………………...................................................

I) How would you describe your life in general?

A) Interesting B) Challenging C) Miserable

II) How do you handle problems?

A) You try my best to sort them out.
B) You enjoy the challenge that problems present.
C) You get angry and find someone to blame.

III) Do you think stress can be one of the reasons for not handling problems easily?
A) Yes B) No

IV) When you stressed you feel: (please answer in yes or no)
A) Pain ___________ B) Anger ____________ C) Embarrassment __________
D) Exhausted _________ E) Headaches _________ F) Tense ___________

V) Do you try to find any solution for the problem of your stress?
A) Yes B) No

VI) If yes, how do you handle your stress? (tick one or more than one)
A) Yoga B) Exercise C) Entertainment D) Ayurvedic therapy
E) Eating F) Other (please specify it below)

VII) What is your opinion to reduce stress?

_________________________________________________________________________________________
_________________________________________________________________________________________
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 Exercise:

Respond to the following statements by placing yes or no ( Y or N) on the line preceding each one which you
presently practicing.( Adapted from The Wellness Workbook, by John W. Ttravis and Regina Sara
Ryan, copyright 1981)

 ----- I climb stairs rather than ride elevators.

 ----- I include moderate physical efforts (gardening, child care, standing all day) in my daily activities.

 ----- I include Strenuous physical efforts ( construction work, farming, hauling) in my daily activities
 ----- I jog at least one mile twice times a week (or equivalent).

 ----- I jog at least one mile four times a week (or equivalent).

 ----- I regularly walk or ride a bicycle for exercise.

 ----- I participated in a strenuous sport once a week.

 ----- I participated in a strenuous sport more than once a week.

 ----- I do yoga or some form of stretching and limbering exercise for fifteen to twenty minutes at least
twice a week.

 ----- I do yoga or some form of stretching and limbering exercise for fifteen to twenty minutes at least
four times a week.

Total number of activities practiced presently_______________

 Relaxation:

Answer the following questions by placing a number on the lines preceding each one. Select the number
that best describes your behavior.( Adapted from The Wellness Workbook, by John W. Ttravis
and Regina Sara Ryan, copyright 1981)

1 = Seldom 2 = Sometimes 3 = Always

 ----- Are you able to shut out your worries when you go to bed at night?

 ----- Are you able to take a nap during the day and awaken refreshed?

 ----- Is your clothing well fitting and comfortable?

 ----- Are you able to concentrate on one problem at a time?

 ----- Do you plan your day’ activities?

 ----- Do you find time to relax and stretch during the day?

 ----- Do you find to prevent tension by relieving sustained positions required in your work?

 ----- Do you know how to relax by doing simple movements when you feel yourself becoming tense
because of sustained positions?

 ----- Do you check yourself frequently for habitual tension habits, such as scowling, clenched fists, tight
jaws hunched shoulders, or pursed lips?
 ----- Do you relax these evidences of tension at will when you find them?

 ----- Do you find it easy to relax so that you sleep easily and deeply?

 ----- Do you know how to release tension through simple movements so that you can sleep well?

 ----- Do you play with such interest that you become completely absorbed in what you are doing?

 ----- Do you plan your life so that you can have change of people. scenery and thoughts?

Total score__________________

 Communication:

Answer the following questions by placing a number on the lines preceding each one. Select the number
that best describes your behavior. (Adapted from The Wellness Workbook, by John W. Ttravis
and Regina Sara Ryan, copyright 1981.)

0 = No, Never or Hardly ever 1 = Occasionally, Rarely 2 = Sometimes, May be

3 = Often 4 = Very, Always or Usually

 ----- I am able to initiate a conversation on my own.

 ----- I am able to communicate with strangers.

 ----- I can introduce a difficult topic and stay with it until I have received a satisfactory response from
the other person.

 ----- I enjoy communicating and interested in what others have to say.

 ----- I enjoy silence.

 ----- I have at least 3 friends with whom I can communicate intimately.

 ----- I can communicate my weakness to others when appropriate.

 ----- I am aware of how other people are likely to react when I initiate a communication.

 ----- I consider my thoughts and feelings with care before responding to others.

 ----- I am aware of how I communicate with others nonverbally.

 ----- I am aware when I’m responding to my internal tapes rather than thinking independently.

 ----- I communicate clearly with friends and family.

 ----- I am not asked to repeat myself or speak loudly.

 ----- Instruction I give to others are carried out properly.

 ----- I assert myself to get what I need rather than feel resentment toward others for taking advantage of
me.

 ----- I am aware of situation when I want to blame others rather than accept that I may be wrong.

 ----- I admit my mistakes when I am aware of them.

 ----- I can let go of my negative judgments of others, and I can accept that they only are doing what they
think is best.

 ----- I am aware of my defense mechanisms.

 ----- I am able to listen to and objectively consider opposing viewpoints.

 ----- I am good listener.

 ------ I don’t try to change the subject during a conversation in order to win.

 ----- I am aware of my tone of voice, facial expression, and body language when communicating with
others.

 ----- I like myself and can accept my failings rather than beat up on myself because I think I’ m
unworthy.

 ----- I don’t interrupt or finish others’ sentences for them.

 ----- I am not responsible for keeping other people happy.

 ----- I take charge and control a situation when it is appropriate.

 ----- I let others take charge and control a situation when it is appropriate.

 ----- I cooperate with others when it is necessary for several of us to take a charge of a situation.

 ----- I am able to control and allow a situation to work itself out through means I don’t fully understand.

 ----- I am aware of the psychological games people play.

 ----- I am aware of the psychological games I play with others.

 ----- I can stop playing a psychological game and instead communicate directly.

Total score____________

 Life style Management:

 Answer the following questions as they relate to experience in your current job during past twelve
months. (Self evaluation test developed by Tom Isgar. Copyright 1979)

1 = Never 2= Seldom 3 = Occasionally

4 = Often 5 = Frequently 6 = Always

S.No Questions Score Total

A.1 Do you feel overqualified or under qualified for the work you do?
2 Do you feel lack of identification with your profession?
When you compare yourself with other co-workers and personal friends with
3 respect to their accomplishments, are you unhappy with your career?
Do you think you won't be able to satisfy the conflicting demands of various
B.4 people around you?
5 Does your job interfere with your personal life?
6 Does your personal life interfere with your job?
C.7 Do you feel you have to do things that are against your better judgements?

8 Are decisions or change affect you made without your knowledge or involvement?
9 Are you expected to accept others' ideas without being told the rationale?
10 Do you feel you have too little authority to carry out your responsibilities?
D.11 Are you unclear about what is expected of you?
12 Do others you work with seem unclear about what you do?
13 Do you feel unclear about the scope and resposibilities of your job?
E.14 Does management expect you to interrupt your work for new priorities?
15 Must you attend meetings to get your job done?
16 Does your job require travel?
F.17 Do you have too much to do and too little time in which to do it?
18 Do you have too little to do?
Do you think the amount of work you have to do may interfere with how well its
19 gets done?
G.20 Do you have differences of opinion with your supervisors?
21 Do you lack confidence in management?
Do you feel unable to influence those decisions and actions of your immediate
22 supervisors that directly affect you?
H.23 Do you have unsettled conflicts with people you work with?

24 Do you have an inappropriate amount of interaction with the people you work with?
25 Do you feel you may not be liked and accepted by the people at work?
I.26 Is there any conflict between your unit and others it must work with?
27 Must you go to other departments to get your job done?
28 Are the people you work with trained in a different area than yours?
J.29 Do you worry about decisions that affect the lives of other people?
30 Do you feel you have too much responsibilities for the work of others?
K.31 Are you unaware of the manner in which your performance is evaluated?
Are you in the dark about what your supervisor thinks of you-that is, how she or he
32 evaluates your performance?
Are you unaware of the degree to which your performance in evaluated as
33 acceptable?
Total =