Amity Workplace Wellness Questionnaire for Employees

1. Do you have any medical problems? If yes, then the problem relates to:
Eyes
Back Pain
Neck Pain
Hearing
Headache
Chest pain or Heartburn
Others


2. Do you get sound sleep after work?
Not at all
Sometimes
Yes, always


3. Have you noticed any weight gain in the past 6 months?
No
Did not check
Yes


4. Have you noticed any change in your skin texture?
Not at all
Sometimes
Yes, always


5. Is there a change in your Blood Pressure readings?
No
Did not check
Yes


6. What kind of Health Insurance do you have?
Individual Health Insurance
Group Medical Insurance
Both
Other


7. How do you manage stress?
Watching Movies
Partying
Visiting Pubs & Discotheques
Others


8. How many times have you visited the doctor in the last 6 months?
Never
1 – 3
3 – 6
Above 6


9. For minor health problems, what do you prefer:
Consulting a Doctor
Taking medicine on your own
By Chemist's advice
Others


10. How many hours do you spend working on Computers/Laptops?
8 Hours
10 Hours
12 Hours
More than 12 Hours


11. Cabs provided by the employer are comfortable?
Not at all
Sometimes
Yes, always


12. If your work is related to calling. Then how many calls do you make in a day?
Less than 20
20 - 50
More than 50


13. Is the food provided by the employer hygienic and healthy?
Not at all
Sometimes
Yes, always


14. Are you pressurized for meeting deadlines at work ?
Not at all
Sometimes
Yes, always


15. How much time do you get to relax or to take a break?
Less than 1 hour
1 hour
More than 1 hour


16. In excess to normal working hours how much time do you spend at your workplace?
Less than 1 hour
1 - 2 hours
2 - 4 hours
More than 4 hours