Stress Survey for Executives and Entrepreneurs

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Tackling stress is paramount to effective management of health and wellbeing in every workplace. While every job brings its own demands and pressures, people’s ability to deal with pressure is not limitless. Excessive pressure can cause stress. Please complete the following questionnaire to assess your level of stress and the contributing factors.

Company Name *

On a scale of 1 to 5, how much do the following impact on your stress level? *

1. Not at all

2. Very little

3. Somewhat

4. A lot

5. Significant

Colleagues

Financials

Supply Chain

New Markets and Expansion

Please select the answer that best represents your response. *

1. Not at all

2. Very little

3. Somewhat

4. A lot

5. Significant

I believe that there is a relationship between my stress levels and performance outcomes.

I feel that my level of stress interferes with my performance as an executive or entrepreneur

I think that participating in a stress-reduction program would improve my job performance.

I would be interested in participating in a stress reduction program.

1. Not at all

2. Very little

3. Somewhat

4. A lot

5. Significant

I believe that there is a relationship between my stress levels and performance outcomes.

I feel that my level of stress interferes with my performance as an executive or entrepreneur

I think that participating in a stress-reduction program would improve my job performance.

I would be interested in participating in a stress reduction program.

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