Serial No.

PART A: RESPONDENTS BACKGROUND

INFORMATION
1. Gender

Male

2. Age

19 Years Old

Female

22 Years Old

20 Years Old
21 Years Old

3. Programme

Diploma in Environmental Health

Diploma in Medical Laboratory

Technology
Diploma in Pharmacy

4. Part

Two
Four

PART B: EXPOSURE INFORMATION

N
O.

DESCRIPTION

1.

Have you ever heard about hazard or occupational

hazard?
Do you know that physical, chemical, biological,
ergonomics and psychosocial are classes of hazards?
Have you ever experience any injury or accident
when handling chemical substances or apparatus in
laboratory?
Do you feel stress or depress when you being ignored
by someone?
Do you always get sick easily when expose to any
diseases?

2.
3.

4.
5.

YE
S

N
O

6.
7.
8.

Do you think that noise can affect your environment

and physical?
Does your study corner or classroom designed
perfectly with your condition?
Do you think students daily activities can cause any
disease?

PART C: HEALTH EFFECT

1. As a student, which is the most symptom or disease that you
ever experienced?
Depression/Stress
Musculoskeletal disorders (MSD)
Noise-induced hearing loss
Fall or slip
Asthma
Others: __________________

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