元智大學異常工作負荷問卷 Work Fatigue Scale

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親愛的同仁您好:

近來，您是否常覺得頭痛、胸悶、食慾不振、沒胃口、記憶力減退、注意力難集中、肩部與頸部強直性發麻，若有這些症狀您可能就要注意了，因為您可能早已成為過勞的高危險群而不自知!!若你有以上症狀，歡迎自我檢測看看。

此過勞量表可檢測您的過勞情形，分成三大項目，有「個人相關過勞」、「工作相關過勞」與「過勞評估基本資料」。

填答時間大約需要10-15分鐘，請依照實際情形填答。最後，您可以於分析表中得到以上項目的結果與建議。

Hello dear colleagues:
Recently, have you often felt headaches, chest tightness, loss of appetite, loss of appetite, memory loss, difficulty concentrating, stiff shoulders and neck numbness, if you have these symptoms, you may need to pay attention, because you may have already become High-risk groups who are overworked without knowing it!! If you have the above symptoms, you are welcome to check yourself.

This burnout scale can detect your burnout situation, divided into three major items, including "personal overwork", "work-related overwork" and "overwork assessment basic information".

It takes about 10-15 minutes to answer, please answer according to the actual situation. Finally, you can get the results and recommendations of the above items in the analysis table.

Email *

填表原因Reason for filling out the form *

輪班工作Shift work

夜間工作Night work

環安衛中心通知Announcement from the Environmental Safety and Sanitation Center

定期健康檢查Required during regular health checkup

單位 Unit
*

姓名 Name *

職稱 Job title

電話 TEL *

慢性疾病 Chronic disease(s)
*

無None

高血壓 Hypertension

糖尿病 Diabetes

高血脂 Dyslipidaemia

心臟血管循環疾病(心絞痛、冠心症、心肌梗塞) Cardiovascular disease(Angina pectoris/ Coronary heart disease/ Myocardial infarction)

腦中風 Stroke

其他:

每月平均加班時數 Average monthly overtime hours*

請依實際情形回答。

無加班 None

<45小時 <45 hours

45-80小時 45-80 hours

>80小時 >80 hours

Clear selection

是否需輪值夜班？(夜班定義為下午10點至隔天6點之工作) I work night shifts.*

是 Yes

否 No

其他：

Clear selection

個人疲勞personal fatigue

請依照自身情況填選Please fill in according to your own situation

1. 你常覺得疲勞嗎? Do you often feel tired?
*

1.總是 Always(100)

2.常常Frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未 Never or almost never(0)

2.你常覺得身體上體力透支嗎?

Do you often feel physically exhausted?

1.總是 Always(100)

2.常常Frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未 Never or almost never(0)

3.你常覺得情緒上心力交瘁嗎? Do you often feel stressed out?
*

1.總是Always(100)

2.常常Frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未 Never or almost never(0)

4.你常會覺得，「我快要撐不下去了」嗎? Do you often feel the wolf is at the door?
*

1.總是Always(100)

2.常常frequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

5.你常覺得精疲力竭嗎? Do you often feel exhausted?

1.總是always(100)

2.常常frequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

6.你常常覺得虛弱，好像快要生病了嗎?Do you often feel weak?

1.總是always(100)

2.常常frequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

以上1~6題個人過勞平均分數

The average score of personal fatigue for the above 1~6 questions

請將上面選項1.總是:100分、2.常常:75分、3.有時候:50分、4.不常:25分、5.從未或幾乎從未:0分，請將1~6題的分數相加後除以6，即可得出個人疲勞平均分數。

Please select the above options 1. Always: 100 points, 2. Often: 75 points, 3. Sometimes: 50 points, 4. Infrequently: 25 points, 5. Never or almost never: 0 points, please 1. The scores for the ~6 questions are added and divided by 6 to get the average personal fatigue score.

二、工作疲勞Work Fatigue

請依照自身情況，選擇相對的選項

Please choose the relative option according to your own situation

1.你的工作會令人情緒上心力交瘁嗎？

Is your job let your emotionally feel stressed out?

1.總是always(100)

2.常常frequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

2.你的工作會讓你覺得快要累垮了嗎? Does your work make you feel exhausted？
*

1.總是always(100)

2.常常infrequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

3. 你的工作會讓你覺得挫折嗎?

Do you feel frustrated at work?

1.總是always(100)

2.常常frequently(75)

3.有時候sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未never or almost never(0)

4.工作一整天之後，你覺得精疲力竭嗎?

Do you feel exhausted after a long day at work?

1.總是Always(100)

2.常常Frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未Never or almost never(0)

5. 上班之前只要想到又要工作一整天，你就覺得沒力嗎?

Do you feel exhausted that you thinking about having to work all day before going to work?

1.總是Always(100)

2.常常Frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未Never or almost never(0)

6. 上班時你會覺得每一刻都很難熬嗎?

Do you feel every moment is hard at work?

1.總是Always(100)

2.常常frequently(75)

3.有時候Sometimes(50)

4.不常Not often(25)

5.從未或幾乎從未Never or almost never(0)

7.不工作的時候，你有足夠的精力陪朋友或家人嗎?(反向題)

Do you have enough energy to spend with friends or family when you are not working?

1.總是Always(0)

2.常常(25)

3.有時候Sometime(50)

4.不常Not often(75)

5.從未或幾乎從未 Never or almost never(100)

工作過勞平均分數The average score of personal fatigue

請將1~7題的分數相加後除以7，第7題(反向題)分數計算方式為:1.總是:0分、2.常常:25分、3.有時候:50分、4.不常:75分、5.從未或幾乎從未:100分，即可得出工作相關過勞分數。

Please select the above options

1. Always: 0 points, 2. Often: 25 points, 3. Sometimes: 50 points, 4. Not often: 75 points, 5. Never or almost never: 100 points, please 1. The scores for the ~7 questions are added and divided by 7 to get the work-related burnout score.

負荷分級 Overwork level

請選擇您上面表單算出來的分數

Please select the score calculated from your form above

個人分數(疲勞)Personal Score (Fatigue)

<50分:過勞程度輕微 <50 points: Slight degree of overwork

50-70分:過勞程度中等 50-70 points: medium degree of overwork

>60分:過勞程度嚴重 >60 points: Severe overwork

Clear selection

工作疲勞(分數) Work fatigue Total Grade

<45分:過勞程度輕微<45 points: slight overwork

45-60分:過勞程度中等45-60 points: medium level of overwork

>60分:過勞程度嚴重>60 points: severe overwork

Clear selection

備註說明

個人疲勞指數

50 分以下輕微 您的過勞程度輕微，您並不常感到疲勞、體力透支、過勞精疲力竭、或者虛弱好像快生病的樣子。

50－70 分中度 你的個人過勞程度中等。您有時候感到疲勞、體力透支、精疲力竭、或者虛弱好像快生病的樣子。建議您找出生活的壓力源，進一步的調適自己，增加放鬆與休息的時間。

70 分以上嚴重 您的個人過勞程度嚴重。您時常感到疲勞、體力透支、精疲力竭、或者虛弱好像快生病的樣子。建議您適度的改變生活方式，增加運動與休閒時間之外，您還需要進一步尋找專業人員諮詢。

工作疲勞指數

45 分以下輕微 您的工作相關過勞程度輕微，您的工作並不會讓您感過勞覺很沒力、心力交瘁、很挫折。

45－60 分中度 您的工作相關過勞程度中等，您有時對工作感覺沒力，沒有興趣，有點挫折。

60 分以上嚴重 您的工作相關過勞程度嚴重，您已經快被工作累垮了，您感覺心力交瘁，感覺挫折，而且上班時都很難熬，此外您可能缺少休閒時間，沒有時間陪伴家人朋友。建議您適度的改變生活方式，增加運動與休閒時間之外，您還需要進一步尋找專業人員諮詢。

Personal Fatigue Index
50 points you do not often feel fatigued, physically exhausted, overworked, exhausted, or weak as if you are getting sick.
50-70 points Moderate You have a moderate level of personal overwork. You sometimes feel fatigued, overworked, exhausted, or weak as if you are about to get sick. It is recommended that you identify the sources of stress in your life, adapt yourself further, and increase the amount of time you spend relaxing and resting.
70 or more Severe You have a high level of personal overwork. You often feel fatigued, physically exhausted, exhausted, or weak as if you are getting sick. It is recommended that you make modest lifestyle changes, increase exercise and leisure time, and that you seek further professional consultation.

Work Fatigue Index
<45 points you work-related fatigue is mild. Your work does not make you feel overworked, exhausted, or frustrated.
45-60 points Moderate Your work-related fatigue is moderate, and you sometimes feel powerless, uninterested, and frustrated with your work.
>60 points You feel exhausted, frustrated, and have a hard time at work. In addition, you may lack leisure time to spend with your family and friends. It is recommended that you make modest lifestyle changes to increase your exercise and leisure time, and that you seek further professional consultation.

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