Never

	Working Conditions - are they?	Never	Sometimes	Often
1	Too noisy
2	Too cold /hot
3	Inadequate lighting
4	Giving glare or reflections on computer screens
5	Making it necessary for you to wear spectacles
6	Lacking in adequate rest facilities
7	Lacking adequate rest breaks

	Doing the Job - is it?	Never	Sometimes	Often
8	Boring
9	Repetitive
10	Not enough to do
11	Little or no creative input required
12	Under-utilisation of skills
13	Too much training
14	Isolated
15	Inflexibly scheduled
16	Too little training
17	Confusing
18	Too much to do / not enough time

	Responsibilities at work - are you?	Never	Sometimes	Often
19	Responsible for looking after others
20	Short of suitably qualified staff
21	Expected to work excessive hours
22	Confused about how everyone fits in

	Relationships at work - do you?	Never	Sometimes	Often
23	Suffer from bullying
24	Suffer from racial or sexual harassment
25	Suffer from age discrimination
26	Have poor relationships with others
27	Feel angry
28	Feel frustrated
29	Feel irritated

	Management Attitudes - is there a?	Never	Sometimes	Often
30	Lack of support for individuals to develop their skills
31	Lack of direction and decision making
32	Lack of communication & consultation
33	Too much / too little supervision
34	Lack of control over work activities
35	Negative culture - blame when things go wrong
36	Feeling of job insecurity
	Have you been?	Yes	When	No
37	Trained to help you manage stress
38	Given a routine annual health check
39	Involved in Risk Assessment of your job
40	Trained to assess your workstation and Data Terminal Equipment

	Do you suffer from any of the following?	Never	Sometimes	Often
41	Nervous dyspepsia (flatulence and indigestion)
42	Pruritis (itching)
43	Frequent headaches
44	Migraine
45	Hypertension (high blood pressure)
46	Peptic ulcers
47	Hay fever & allergies
48	Asthma
49	Skin disorders
50	Changes in appetite
51	Alcohol dependence (regularly need a drink - more than 10 units/week)
52	Mood swings
53	Drug dependence (prescribed / other but exclude contraceptives & HRT)
54	Frequent flu-like symptoms
55	Sleeplessness (hard to get to sleep/sleeping less soundly - exclude child care)
56	Short term memory loss
57	Poor concentration
58	Exhaustion
59	Painful muscles and/ore aching joints
60	Depression

The questions are derived from a UNISON survey, augmented by the TUC publication "Hazards at Work" and the Health and Safety Executive "Work-Related Stress" Information Pack.

The information gathered will be treated with strictest confidence and will only be published in a composite form that will not identify individual responses or comments.

This list of questions has not been constructed from a clinical survey, but if you have marked 20 or more boxes in the right column ("Often" or "No") you should consider talking to your GP, a close friend, the Occupational Health Unit, your manager or your union.

About you (not compulsory but will help identify clusters)							F	What is your ethnic group? (please tick)
A	What is your building/floor code? (e.g. HO-2)						White		British
									Irish
									Other white
B	What is your sex? (please circle)	Male			Female		Mixed		White & Black Caribbean
									White & Black African
									White & Black Asian
									Mixed other
C	What is your age group? (please circle)	Under 25		25 to 39		Over 40	Asian or Asian British		Indian
									Pakistani
									Bangladeshi
									Other Asian
D	How many years have you been at the Bank? (please circle)	0 to 5		6 to 15		Over 15	Black or Black British		Caribbean
									African
									Other Black origin
E	Is your job complex or intellectually demanding?		No	Sometimes		Yes	Chinese or other ethnic group		Chinese
									Any other

Thank you for your help.
Would you please complete this survey and return it to:

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