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QUESTIONAIRRE 1. Please tell us a little about yourself A. Are you a male or female? FEMALE MALE B.

Your age: 20-29 30- 35 36- 44 45-55 56- 70 C. What is the highest level of degree you have received? High school Diploma Degree Post-graduate Doctorate D. your occupation Service Business Self-employed Professional Other-please specify_________________________ 2. Please tell us a little about your work environment: A. On an average what is your commuting time (one-way). Less than 30 min 30min 1 hour 1 hour 2 hours More than 2 hours

B. how much time do you spend at work everyday? 6-8 hours 8-10 hours 10-12 hours More than 12 hours C. In a week, you work for Less than 5 days 5 days 6 days All 7 days D. Does your work have night shifts? Yes No (instructions) E. How meaningful is your work? 1 2 3 4 5

F. do you think you do too little or too much work? 1 2 3 4 5

G. how comfortable is your work environment? 1 2 3 4 5

H. how happy are you with the pay you get? 1 2 3 4 5

Please tell us about your health habits A. Do you think eating nutritious food helps you to be more productive? 1 2 3 4 5

B. Do you make it a point to eat your meals on a fixed time? 1 2 3 4 5

C. Do you eat home cooked food at work? 1 2 3 4 5

D. Do you eat fruits at work? 1 2 3 4 5

E. do you engage in any regular exercise? 1 2 3 4 5

F. do you think exercise helps you to work more productively? 1 2 3 4 5

G. Is your workplace ergonomically designed? Yes No

H. how many hours of work requires continuous sitting?

More than 6

4- 6 hours

2-4 hours

Less than 2 hours

I. does your company run a workplace wellness program? Yes No

J. Given a choice which of these activities would you like to be included in wellness program? (Can choose more than one) Yoga/ meditation Wellness talks Weight management courses Stress management courses Time management courses Exercise/ fitness courses Wellness vacations Lifestyle diseases management Others-__________________________________

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