Appendix la

Jenkins Activity Survey

FORM C
C. David Jenkins, Ph. D. Stephen J. Zyzanski, Ph. D. Ray H. Rosenman, M. D.

Name •Age. Sex.

College/ 0 epartmen t Designation.

Instructions ; —
The jenkins Activity Survey asks questions about black lead pencil, and make your marks heavy and
aspects of behavioui (hat have been found helpful in dark. Mark only one answer for each question If you
medical diagnosis. Each person is different, so there change your mind, erase the old mark completely
are no "right" or "wrong" answers.
For each question, choose the answer that is tme for
Do not mtike aay stray marks.-
you, and fill in the space in front of that answer. Use a

6 Ordinarily, how rapidly do you eat ?

1. Do you ever have trouble finding time to get your
AD I'm usually the first one finished.
hair cut or styled ?
®D I eat a little faster than average
A D Never '^D I eat at about the same speed as most people.
B Q Occasionally DD I eat more slowly than most people.
C D Almost always

7. Has your spouse or a friend ever told y o u that ?

2. H o w often does your job "stir you into action" ? you eat too fast ?
A D Less often than most people's jobs A D Yes, often
B D About average B D Yes, once or twice
CQ More than most people's jobs CD N o , never

3. Is your everyday life filled mostly by
A D problems needing a solution ?
B D challenges needing to be met ?
a rather predictable routine of events ?
o n not enough things to keep me intersted or busy ?
4. Some people live a clam, predictable life. Others
often find themselves facing unexpected changes,
frequent interruptions, inconveniences, or "things
going wrong " H o w often are you faced with
these minor (or major) annoyances or frustrations?
A D Several times a day
B D About once a day
CQ A few times a week
D O Once a week
E D Once a month or less
5. When you are under pressure or stress, what do
you usually do ?
A D DO something about it immediately
B D Plan carefully before taking any aciion
8. H o w often d o you find yourself doing more than
one thing at a time, such as working while eating,
reading while dressing or figuring out problems
while driving ?
A D I d o two things at once whenever practical.
BD 1 do this only when I'm short of time
'^D I rarely or never d o more than one thing at a
time.
9. When you listen to jomeone talking, and this
person takes too long to come to the point, h o w
often d o y o u feel like hurrying the person along ?
A D Frequently
B D Occasionally
C D Almost never
10 H o w often do you actually "put words in the
person's mouth" in order to speed thiags up ?
A D Frequently
B D Occasionally
C D Almost never
 m

11. If you tell your spouse or a friend that you will 18. Would your spouse (or closest friend") rate you as
nieet s o m e w h e r e at a definite time, h o w o f t e n definitely hard-driving and competitive ?
do you arrive late ? BQ probably hard-driving and competitive ?
AD Once in a while ^Q probably relaxed and e a s y g o i n g ?
BQ Rarely on definitely relaxed and easygoing ?
C D I am never late

12. H o w o f t e n d o y o u find yourself hurrying to get 19. Would your spouse (or closest friend) rate y o u r
places even when there is plenty of time ? general level of activity as
•AO Frequently A Q t o o Slow —should be more activc ?
^ D about average—busy much o f the time ?
BD Occasionally
C Q t o o active—should s l o w d o w n ?
A l m o s t never

13. Suppose you are to meet someone at a public

20. Would people you k n o w well agree that y o u take
place ( street corner, building lobby, r e s t a u r a n t ) your work t o o seriously ?
and the other person is already 10 minutes late.
AD Definitely yes
What will y o u do ?
BD Probably yes
AD Sit and wait
cD Probably n o
BQ Walk a b o u t while waiting
IJ^ Lefinitely n o
Usually carry some reading matter or writing
paper so I can get something done while
.waiting
21. Would people you k n o w well agiee that yau have
less energy than most people ? .
14. When you have to "wait in line" at a restaurant,
AQ Definitely yes
a store, or the post o f l k e , what do you do ?
Brj Probably yes
A c c e p t it calmly
CD Probably no
BD Feel impatient but not show it
D Q Definitely no
CD Feel so impatient that someone watching can tell
I am restless
I^D R e f u s e to wait in line, and find wiijs to avoid
22. Would people you know well iigree that you tend
such delays
to get irritated easily ?

15. When y o u play games with young children about A D Definitely j e s

10 years old (or w h e n you did so in r a i l years), B D Probably yes
h o w o f t e n do y o u purposely let, ihem win ? C D Probably no
AQ Most of the time D Q Definitely no
BD Half the time
C D Only occasionally
23. Would people w h o know y o u well agree that y o u
Never ' '
tend to do most things in a hurry ?

16. When you were younger, did most people An Definitely yes
BD Probably yes
consider y o u to be
CD Probably n o
A Q definitely haid-driving and competitive ?
D D Definitely no
BQ probably hard-driving and competitive ?
CQ probably more relaxed and easygoing ?
on definitely more relaxed and easygoing ?
24. Would people w h o know y o u well agree that you
enjoy a " c o n t e s t " (competition) and try h a i d to
17. N o w a d a y s , do you consider yourself t o be win ?
AD definitely hard-driving and competitive ? AD Definitely yes
Bn probably hard-driving and competitive ? BD Probably yes
CQ probably more relaxed and easygoing ? CD Probably n o
•^D definitely more relaxed and easygoing ? DD Definitely no Page 2
 to'

25 H o w was your temper when you were yquoger ? 32. At work, do you ever keep two jobs moving
AO Fiery and hard to control ^ • forward at the same time by shifting back and
^ Q . Strong but controllable ' ; • forth rapidly from one to the oiher ?
CO N o problem ' • ' AQ N O . Never " \ ' - ' • '
DO 1 almost never got angry . BD Yes, but only in emergencies
CD Yes, regularly

26 H o w is your temper n o w a d a y s ? 33. Are y o u content to remain at your present j o b

Fiery and hard to control level for the next five years ?'

®n Strong but controllable An Yes

N o problem BQ N o , 1 want to advance
DQ I almost never get angry. CD Definitely no; I strive to advance and would be
dissatisfied if not promoted in that length of
time.
27. W h e n y o u are in the midst of doing a j o t ) and
s o m e o n e ( n o t your boss) interrupts y o u , h o w do 34. If y o u had your choice, w h i c h would y o u rather
y o u usually feel inside ? get ? • ,
An A small increase in pay without a p r o m o t i o n to
ACj 1 feel O.K because I work better after an occas-
• : , a higher level j o b
ional break .
bD 1 feel only mildly annoyed . = '• BO A promotion to a higher level j o b without an
CD 1 really feel irritated because most such interrup- increase in pay . , , > , .
tions are u n n e c e s s a r y .
35 In the past three years,-have y o u ever taken l e s s ,
. , • , ,, 'i.h than y o u r allotted number of vacation days ?
2 8 . ' H o w often are there deadlines on your j o b ? • • A D Yes . • .s - . . .
BQ N o .i ,
AD' Daily or more o f t e n ' ' ' > •„ . j h-
C Q M y type o f j o b d o e s n o t - p r o v i d e regular
BD Weekly ; ..
vacations.
CQ M o n t h l y or less often
DO Never i - ' I.. • > .

36 In the last three years, h e w has your personal'

yearly income changed ?• • '» * • •
29, T h t s e deadlines usually carry ' ' . AQ l i has remained the same or gone d o w n

An Minor pressure because of their routine nature . BD It has gone up slightly (as t h e result of cost-of-
Bn Considerable pressure, since del^y would upset living increases or a u t o m a t i c raises based on
my entire work group . years of service). ;
CQ D e a d l i n e s never occur on my j o b . CQ It has gone up considerably. „

37. J{ow o f t e n do you bring your work home with

30. D o you ever set deadlines or quotas for yourself y o u at night, or study materials related to your
at work or at h o m e ? ' job?
I •• . I... • AQ Rarely or, never ,
AD N o ,,, ,. •
BD Once a week or less ,
Yes, but only occasionally
CQ More than o n c e a week < . ,,,
cD Yes, once a week or more
i
38. H o w o f t e n d o y o u go to your place o f work w h e n
y o u are n o t expected to be there (such as nights
31. When you have to work against a deadline, what
is the quality of your work ? , .^ or weekends)?
AD It is n o t possible o n my j o b .
KO BtUM BD Rarely or never ' '
BD Worse
^O Occasionally (less than once a week) •'
CQ The same (Pressure makes no difference) Once a week or more ' Page 3
39. When you find yourself getting tired on the job, For questions 47-49, compare your present work with
what do you usually do? your work setting of five ' years ago. If you have not
A Q Slow down for a while until my strength conaes been working for five years, compare your present j o b
back with your first job.
Keep pushing myself at the same pace in spite of
the tiredness
47. 1 worked more hours per week
40. When you are in a group, how often do the other A D at my present job.
people look to you for leadership ? ®D five years ago.
A D Rarely Cannot decide
About as often as ihey look to others
c n More often than they look to others
48. I carried more responsibility
A D at my present j o b
41. H o w often do you make yourself written lists to
B p . five years ago. -
help you remember what'needs to be done ?
A D Never c p Cannot decide.^
Occasionally
CQ Frequently 49. I was considered to be at a higher level (in prest-
For questions 42-46, compare yourself with the average ige or social position )
worker in your present occupation, and mark the most, A D at my present job.
accurate description. , ® n five years ago
^ D Cannot decide.
42. In amount of efTori put forth, 1 give
A• much more effort. 50. How many different job titles have you held i ^ h e
B Q a little more effort. last 10 years? (Be sure to count shifts in kinds of w o r k , .
C D a little less effort. shifts to new employers, and shifts up and down with-
D Q much less effort. in a firm ) -.
AD 0-1
43. In sense of responsibility, 1 am BQ 2
A Q much more responsible. . CD 3 ••
B D a little more responsible. on 4 ,
^ D a little less responsible, EQ 5 or more
much less responsible. •
51 How much schooling did y o u receive?
44. 1 find it necessary to hurry AQ 0-4 years
A Q much more of the time. BQ 5-8 years
B Q a little more of the time C D Some high school
C Q a little less of the .time. D Q Graduated from high school
D Q much less of the time. , E D Trade school or business college
F Q Some college (including junior college)

45. In being precise (careful about detail), 1 am
much more precise.
BD a little more precise
C D a little less precise.
D Q much less precise.
46 1 approach life in general
A Q much more seriously.
Bin a little more serioujly.
C D a little less s e r i o u | 1 | ^ | •
much less scrifiusJy^Sf;!
G D Graduated from a four-year college
' ;. H D Postgraduate work at a college or university
52. When you were in school, were you an officer of
any group, such as a student council, glee club-
4-H club, sorority or fraternity, or captain of an
athletic team ?
AD No
®D Yes, I held one such position.
C D Yes, I held two or more such positions.
Page 4
 Appmrlix 1b

ORS SCALE
Please do not write anythins on these pages. Responses should be given
on a separate answer sheet provided to you.

.^People have different feelings about their roles. Statements describing

some such feelings are given below. Use the answer sheet to write your
responses. Read each statement and indicate in the space against the T
corresponding number in the answer sheet how often you have the feeling
expressed in the statement in relation to your role in your organisation. Use
the numbers given below to indicate your own feelings. " • > -

If you find that the category to be used in answering does not adeqijately
indicate your own feelings, use the one which is closest to the way you feel.
Do hot leave any item unanswered. Answer the items in the order given
below.

Write 0 ' if you never or rarely feel this way

" 1 if you occasionally (a few times) feel this way

" 2 if you sometimes feel this way

- " 3 if you frequently feel this way

" 4 if you very frequently or always feel this way

1. My role tends to interfere with my family life.

2. I am afraid I am not learning enough in my present role for taking up higher

responsibility.

3. 1 am not able to satisfy the conflicting demands of various people over me.

4. My role has recently been reduced in importance.

5. My workload is too heavy.

P r e p a r e d by Udai Pareek and published by Navin Publications, Ahmedabad. © 1982, Udai Pareek
Reproduction in any form will violate the copyright.
 Write 0 if you never or rarely feel this way

" 1 if you occasionally (a few times) feel this.way

" 2 if you sometimes feel this way

" 3 if you frequently feel this way

" 4 if you very frequently or always feel this way

6. Other role occupants do not sive enoush attention and time to my role.

7. I do not have adequate knowledge to handle the responsibilities in my

role.

8. I have to do things In my role that are against my better judgement.

9. I am not clear on the scope and responsibilities of my role (job).

10. I do not get information needed to carry out responsibilities assigned to

me.

11.1 have various other interests (social, religious, etc.) which remain
neglected because I do not get time to attend to these.

12. I am too preoccupied with my present role responsibility to be able to

prepare for taking higher responsibility.

13. I am not able to satisfy the conflicting demands of the various peer level
people and my juniors.

14. Many functions of what should be a part of my role have been assigned to
some other role.

15. The amount of work I have to do interferes with the quality I want to
maintain,

16. There is not enough interaction between my role and other roles.

17. I wish I had more skills to handle the responsibilities of my role.

18. I am not able to use my training and expertise in my role.

19. I do not know what the people I work with expect of me.

20. I do not get enough resources to be effective in my role.

 }IZ

Write 0 if you never or rarely feel this way

" 1 if you occasionally (a few times) feel this way

" 2 if you sometimes feel this way

" 3 if you frequently feel this way

" 4 if you very frequently or always feel this way

21. My role does not allow me to have enoush time with my family,

22. I do not have time and opportunities to prepare myself for future
challenses of my role.

23. I am not able to satisfy the demands of clients and others, since these are
conflicting with one another.

24. I would like to take more responsibility than I am handling at present.

25. I have been given too much responsibility.

26. I wish there was more consultation between my role and other roles.

27. I have not had pertinent training for my role.

28. The work I do in the organisation is not related to my interests.

29. Several aspects of my role are vague and unclear.

30. I do not have enough people to work with me in my role.

31. My organisational responsibilities interfere with my extra-organisational

roles.

32. There is very little scope for personal growth in my role.

33. The expectations of my seniors conflict with those of my juniors.

34. I can do much more than what I have been assigned.

35. There is a need to reduce some parts of my role.

 Write 0 if you never or rarely feel this way

" 1 if you occasionally (a few times) feel this way

" 2 if you sometimes feel this way

" 3 if you frequently feel this way

" 4 if you very frequently or always feel this way

36. There is no evidence of involvement of several roles (includins my role)in

joint problem splvins or collaboration in plannins action.

37. I v/ish I had prepared myself well for my role.

38. If I had full freedom to define my role I would be dolns some thinss
different from what I do now.

39. My role has not been defined clearly and in details.

40. I am rather worried that I lack the necessary facilities needed in my role.

41. My family and friends complain that I do not spend time with them due to
heavy demands of my work role.

42. I feel stasnant in my role.

43. I am bothered with the contradictory expectations different people have

from my role.

44. I wish I had been siven more challenging tasks to do.

45. I feel overburdened in my role.

46. Even when I take initiative for discussions or help, there is not much
response from other roles.

47. I need more training and preparation to be effective in my work role.

48. I experience conflict between my values and what I have to do in my role.

49. I am not clear as to what are priorities in my role.

50. I wish I had more financial resources for the work assigned to me.
ANSWER SHEET ORS SCALE

Read instructions carefully before responding on this sheet

NAME SEX AGE DATE

ROLE ORGANISATION

1. 11. 21. 31. 41. IRD 1

2. 12. 22. 32. 42. RS 2

3, 13. 23. 33. 43. REC 3

4, 14. 24. 34. 44. RE 4

5, 15. 25. 35. 45. RO 5

6 16. 26 36. 46. R1 6

7. 17, 27. 37. 47. PI 7

8 18. 28. 38. 48 SRD 8

9 19. 29. 39. 49. RA 9

10 20. 30. 40. 50. Rin 10

Prepared by Udai Pareek and published by Navin Publications, Ahmedabad.

©1982, Udai Pareek Reproduction in any form will violate the copyright.
 Appendix 1c
SOCIAL SUPPORT QUESTIONNAIRE

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 Appendix IV-A

Analysis of variance (2x2x2)

According to formula:
2
S t e p I = C = (Grand sum)
W

Where
C = correction term

N = Total Number o f Subjects.

Grand Sum = 2 X^ ^

^ X^ = Total s c o r e s of group I

^ X^ = Total s c o r e s of group II and so on.

Step II Total Sim o f squares (Tss)

Tss = ( X^ + + Xg + + •X^)-C

Step III Sum o f squares between groups (SSB)

SSB = ax. (IX^)^

±_ + ± S- _ c
n n n

Where n = Number o f subjects in a group.

S t e p IV Sum o f squares w i t h i n groups (SSW)

SSW = Tss-SSB

Step V . S i g n i f i c a n c e of SSB

Analysis of variance showing t h e SSB and SSW for

the data of table.

Sources of Sum o f Mean p

d.f. P
Var i a t ion Squares Squares

Between groups SSB (K-1) SSB/(K-1)

Within group SSW (N-K) SSW/(N-K)

SSB/(K-1)
SSW/(N-K)
 128

s t e p VI Partitioning t h e b e t w e e n sum o f squares :

Main e f f e c t s c o m p a r i s o n between M e d i c a l (A^) and

Academic (Ag)

Work s e t u p (A) = ,
N

- C
N

Comparison between t y p e A ( B ^ ) and t y p e B ( B 2 )

Behavior
V
-T ~ C
Pattern(B) N N

Comparison between M a l e s (C^) and F e m a l e s (C^)

Gender (C) =
N N

Step V I I Partitioning t h e b e t w e e n Sum o f Squares

Interaction Effects

Interaction between A x B

a b-

<1 c d

Interaction (AxB) = _ [ U + d ) - ( b + c
4xn
 12

Where A = Work wet up

B = Behavior pattern

Type (A) behavior pattern

Type (B) behavior pattern

Medical Setting

Academic Setting

a = Type A in Medical Setting

s
b = Type B in M e d i c a l Setting
s
c = Type A in Academic Setting

d = T y p e B i n Academic Setting
s

Similarly Interaction (AxC) and BxC)

Interaction AxBxC Sum o f Squares.

= SSB- [ ( A ) + ( B ) + ( C ) + ( A x B ) + ( A x C ) + (BxC);

Step V I I I Summary o f A n a l y s i s of Variance (2x2x2).

Sources of Sum o f d.f Mean F

Variation Squares Aquares
SSW
A (A) 1 (A)/
(N-K)
SSW
B (B) 1 (B) (B)/ (N-K)
SSW
C (C) 1 (C) (C)/ (N-K)

AxB (AxB) 1

1 (AC) CAP/SSW
AxC (AxC)

BxC (BxC) 1 (BC) (BC)/||L

AxBxC (AxBxC) 1 (ABC) (ABC)/||^

Within
groups SSW (N-K) SSW/(N-K)
 50

Appendix IV-B

Correlation Coefficient (product moment)

According to formula

Ixy
r =

LX

Where r = Correlation Coefficient

X = (X-X)

y = (y-y)
X , y = Raw S c o r e s .

xy = Sum o f the product of deviations in X V

series calculated with reference to their

airthmatic means.
2
X = Sum of S q u a r e s of deviations of X scores

2
from t h e i r mean.

y = Sum o f Squares of d e v i a t i o n s of y scores

from t h e i r mean.

bohtak