Mental Health at Work
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Gender *
Age *
During the past 4 weeks have you had any problems with your work or daily life due to your physical health? *
During the past 4 weeks have you had any problems with your work or daily life due to any emotional problems, such as feeling depressed, sad or anxious? *
Overall how would you rate your mental health? *
Have you felt particularly low or down more recently? *
More recently how often has your mental health affected your relationships? *
How often do you experience calm and peaceful? *
How often do you feel energetic? *
How often do you feel gloomy? *
How often do you feel angry? *
Have you ever been diagnosed with mental disorder before?
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Does your health limit you undoing daily activities such as light physical activities? *
Does your health limit you undoing daily activities such as moderate physical activities? *
Does your health limit you undoing daily activities such as heavy physical activities? *
How many hours do you sleep per day? *
How is your quality of sleep? *
What is your marital status? *
Are you heavy smoker?
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Are you alcoholic?
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How often you feel positive about your life? *
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