QUESTIONNAIRE ON IMPACT OF CORONA VIRUS ON EMPLOYEES

Personal Information (optional):

Name:

Email:

Location:

Questionnaire:

1. Do you work from home?

o Yes
o No
2. How worried are you about the impact of corona virus on you personally?
o Extremely worried
o Very worried
o Somewhat worried
o Not so worried
o Not at all worried
3. How worried are you about the impact of corona virus on your company?
o Extremely worried
o Very worried
o Somewhat worried
o Not so worried
o Not at all worried
4. How easy or difficult is it for you to work effectively these days?
o Very easy
o Somewhat easy
o Neither easy nor difficult
o Somewhat difficult
o Very difficult
5. What are the TOP THREE biggest challenges you are currently facing while working
remotely?
o My physical workspace
o General anxiety about the impact of corona virus on my life
o I don’t have access to the tools or information I need to do my job at home
o Too many distractions at home
o Communications with coworkers is harder
o Internet connectivity
o If others, please specify

6. How long are you comfortable with your current work from home?
o It isn’t sustainable now
o A few weeks
o A month
o Three or more months
7. How confident are you in the company’s leadership team to make the right decisions to
manage through crisis?
o Extremely confident
o Very confident
o Somewhat confident
o Not so confident
o Not at all confident
8. How confident are you that you have the right resources and benefit from your company to
help support you through this period?
o Extremely confident
o Very confident
o Somewhat confident
o Not so confident
 o Not at all confident

Likert scale:

Statements Strongly Disagree Neutral Agree Strongly

disagree agree
I feel that I
provided with lots
of work during
work from home
I face network
issue while
working from
home
I get leisure time
to spend with
family

9. What is your single greatest work concern right now?

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