Name (optional)
Stress Risk Assessment Survey Form
 
E-mail
The anonymity of survey participants will be protected.  There are 35 questions. Choose the one answer in each question that is most appropriate to your circumstances. Only completed questionnaires may be processed and a chart returned to you. Further information about stress risk assessments may be found on the Health and Safety Executive website. The HSE survey indicator tool is replicated below for your convenience:
         
 
Workplace
 
Position (Choose one)
 
QUESTIONS
   = required
1 I am clear what is expected of me at work   Never    Seldom    Sometimes    Often    Always    No Answer  
                             
2 I can decide when to take a break   Never    Seldom    Sometimes    Often    Always    No Answer
                             
3 Different groups at work demand things from me
that are hard to combine		   Never    Seldom    Sometimes    Often    Always    No Answer
                             
4 I know how to go about getting my job done   Never    Seldom    Sometimes    Often    Always    No Answer
                             
5 I am subject to personal harassment in the form of
unkind words or behaviour		   Never    Seldom    Sometimes    Often    Always    No Answer
                             
6 I have unachievable deadlines   Never    Seldom    Sometimes    Often    Always    No Answer
                             
7 If work gets difficult, my colleagues will help me   Never    Seldom    Sometimes    Often    Always    No Answer
                             
8 I am given supportive feedback on the work I do   Never    Seldom    Sometimes    Often    Always    No Answer
                             
9 I have to work very intensively   Never    Seldom    Sometimes    Often    Always    No Answer
                             
10 I have a say in my own work speed   Never    Seldom    Sometimes    Often    Always    No Answer
                             
11 I am clear what my duties and responsibilities are   Never    Seldom    Sometimes    Often    Always    No Answer
                             
12 I have to neglect some tasks because I have too
much to do		   Never    Seldom    Sometimes    Often    Always    No Answer
                             
13 I am clear about the goals and objectives for my
department		   Never    Seldom    Sometimes    Often    Always    No Answer
                             
14 There is friction or anger between colleagues   Never    Seldom    Sometimes    Often    Always    No Answer
                             
15 I have a choice in deciding how I do my work   Never    Seldom    Sometimes    Often    Always    No Answer
                             
16 I am unable to take sufficient breaks   Never    Seldom    Sometimes    Often    Always    No Answer
                             
17 I understand how my work fits into the overall aim
of the organisation		   Never    Seldom    Sometimes    Often    Always    No Answer
                             
18 I am pressured to work long hours   Never    Seldom    Sometimes    Often    Always    No Answer
                             
19 I have a choice in deciding what I do at work   Never    Seldom    Sometimes    Often    Always    No Answer
                             
20 I have to work very fast   Never    Seldom    Sometimes    Often    Always    No Answer
                             
21 I am subject to bullying at work   Never    Seldom    Sometimes    Often    Always    No Answer
                             
22 I have unrealistic time pressures   Never    Seldom    Sometimes    Often    Always    No Answer
                             
23    I can rely on my line manager to help me out with
a work problem		     Never    Seldom    Sometimes    Often    Always    No Answer
                             
24  I get help and support I need from colleagues Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
25 I have some say over the way I work Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
26 I have sufficient opportunities to question managers about change at work Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
27 I receive the respect at work I deserve from my colleagues Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
28 Staff are always consulted about change at work Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
29 I can talk to my line manager about something that has upset or annoyed me about work  Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
30 My working time can be flexible Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
31 My colleagues are willing to listen to my workrelated problems Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
32 When changes are made at work, I am clear how they will work out in practice Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
33 I am supported through emotionally demanding work Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
34 Relationships at work are strained Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
35 My line manager encourages me at work Strongly Disagree   disagree   Neutral    Agree    Strongly Agree   No Answer 
                           
 Have your say: (optional)                    
                                
 
Thank you for participating in this survey   
 
Your charted results will be sent confidentially to your email address