Name:

Instruction:
Kindly put a check mark
on the circle provided
according to the
following responses.


SA A N D SD

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.


Occupation & Position:



SA - Strongly Agree
A - Agree
N - Neutral
D - Disagree
SD - Strongly Disagree


SA A N D SD

26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.


Gender:



Example:

Proper Mark:
SA A N D SD



SA A N D SD

51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.


Age:





Improper Marks:
SA A N D SD





SA A N D SD

76.
77.





























Score

Raw
Score

Sten

Difficult Boss


Job
Mismatched


Workplace
System


Colleagues in
the
Workplace

Lack of
Management
Support


TOTAL:


Address: