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Questionairre 1. Please Tell Us A Little About Yourself
Questionairre 1. Please Tell Us A Little About Yourself
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
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
More than 6
4- 6 hours
2-4 hours
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-__________________________________