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Workplace assessment
Name
*
Email Address
*
Phone
We will really appreciate if you can kindly drop your number so that we reach you faster. Thank you for understanding
How would you like us to deliver your results? (You can choose options you are cool with)
Call
Text
Whatsapp
Email
We recommend Call (Direct/via whatsapp) so that your assigned psychotherapist can directly brief you on your results and offer personalized recommendations based on your submission. You would be sent a reminder text/email when your results are ready (usually within 60 minutes), then schedule an available time for your assigned psychotherapist call. We will not charge you for this call. Thank you very much.
General Workplace Satisfaction
On a scale of 1-10, how satisfied are you with your current job?
*
1
10
Do you feel that your work provides you with a sense of purpose or fulfillment?
Yes
No
How often do you feel appreciated for the work you do?
Never
Rarely
Sometimes
Often
Always
Stress and Burnout Levels
How often do you feel overwhelmed or stressed during work hours?
Never
Rarely
Sometimes
Often
Always
Have you experienced physical symptoms (e.g., headaches, fatigue, muscle tension) due to work-related stress?
Yes
No
Do you find it difficult to maintain a healthy work-life balance?
Yes
No
On a scale of 1-10, how close do you feel to experiencing burnout at work?
1
10
1 - Not Close At All. 10 - Extremely Close
Work Environment and Relationships
How supportive is your supervisor or manager when it comes to managing your workload?
Not Supportive
Somewhat Supportive
Very Supportive
Do you have positive relationships with your coworkers?
Yes
No
How often do you experience conflicts or tension with colleagues at work?
Never
Rarely
Sometimes
Often
Always
Workload and Productivity
On a scale of 1-10, how manageable is your current workload?
1
10
(1 - Unmanageable, 10 - Easily Manageable)
Do you feel that you have the tools and resources needed to perform your job effectively?
Yes
No
How often do you feel that your tasks are overwhelming or too difficult to complete?
Never
Rarely
Sometimes
Often
Always
Emotional Well-being at Work
Do you experience feelings of anger or frustration at work?
Yes
No
On a scale of 1-10, how motivated do you feel to go to work each day?
1
10
(1 - Not Motivated, 10 - Very Motivated)
Recommendations and Feedback
Based on your responses, do you feel the need for support or counseling to manage your workplace stress?
Yes, I very much need ongoing support
No, I'll pass on that
To be honest, I don't know
Would you like to schedule a free 15-minutes session with one of our emotional support representatives to further discuss how you feel?
Yes, I'd love that
No thanks. Just let me know the results alone
Submit
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