Workplace Behavior and Health Survey

Workplace Behavior and Health

Thank you for participating in the Workplace Behavior and Health Project. This study has been approved by IRB, eIRB # Pro00000603. The following questions concern your general health and habits, work and family experiences, and workplace behaviors. The survey should take no more than 20 minutes to complete.

Please be candid when you complete the questions. There are no right or wrong answers to any of the questions. Your responses will be averaged with the responses of other participants. All responses will remain confidential and individual responses will not be identified. However, to protect your rights, authorized research personnel, employees of the Department of Health and Human Services, the USF Institutional Review Board and its staff, and other individuals, acting on behalf of USF, may inspect the records from this research project.

There are no direct benefits or known risks to participating in this study. You are free to participate in this study or to withdraw at any time. Your participation or withdrawal does not have any associated risks. Your submission of this survey indicates your agreement to participate.

If you have any questions about this research study, please contact Kaitlin Kiburz by phone (813) 974-2492 or by email (kkiburz@mail.usf.edu). You may also contact the faculty supervisor of this research, Tammy D. Allen, PhD, at tallen@mail.usf.edu. If you have questions about your rights as a person who is taking part in a research study, you may contact the Division of Research Compliance of the University of South Florida at (813) 974-5638.

	Almost Never	Very Infrequently	Somewhat Infrequently	Somewhat Frequently	Very Frequently	Almost Always
I could be experiencing some emotion and not be conscious of it until some time later.	Below is a collection of statements about your everyday experience. Using the scale below, please indicate how frequently or infrequently you currently have each experience. Please answer according to what really reflects your experience rather than what you think your experience should be. I could be experiencing some emotion and not be conscious of it until some time later. Almost Never	I could be experiencing some emotion and not be conscious of it until some time later. Very Infrequently	I could be experiencing some emotion and not be conscious of it until some time later. Somewhat Infrequently	I could be experiencing some emotion and not be conscious of it until some time later. Somewhat Frequently	I could be experiencing some emotion and not be conscious of it until some time later. Very Frequently	I could be experiencing some emotion and not be conscious of it until some time later. Almost Always
I break or spill things because of carelessness, not paying attention, or thinking of something else.	I break or spill things because of carelessness, not paying attention, or thinking of something else. Almost Never	I break or spill things because of carelessness, not paying attention, or thinking of something else. Very Infrequently	I break or spill things because of carelessness, not paying attention, or thinking of something else. Somewhat Infrequently	I break or spill things because of carelessness, not paying attention, or thinking of something else. Somewhat Frequently	I break or spill things because of carelessness, not paying attention, or thinking of something else. Very Frequently	I break or spill things because of carelessness, not paying attention, or thinking of something else. Almost Always
I find it difficult to stay focused on what is happening in the present.	I find it difficult to stay focused on what is happening in the present. Almost Never	I find it difficult to stay focused on what is happening in the present. Very Infrequently	I find it difficult to stay focused on what is happening in the present. Somewhat Infrequently	I find it difficult to stay focused on what is happening in the present. Somewhat Frequently	I find it difficult to stay focused on what is happening in the present. Very Frequently	I find it difficult to stay focused on what is happening in the present. Almost Always
I tend to walk quickly to get where I’m going without paying attention to what I experience along the way.	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Almost Never	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Very Infrequently	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Somewhat Infrequently	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Somewhat Frequently	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Very Frequently	I tend to walk quickly to get where I’m going without paying attention to what I experience along the way. Almost Always
I tend not to notice feelings of physical tension or discomfort until they really grab my attention.	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Almost Never	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Very Infrequently	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Somewhat Infrequently	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Somewhat Frequently	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Very Frequently	I tend not to notice feelings of physical tension or discomfort until they really grab my attention. Almost Always
I forget a person’s name almost as soon as I’ve been told it for the first time.	I forget a person’s name almost as soon as I’ve been told it for the first time. Almost Never	I forget a person’s name almost as soon as I’ve been told it for the first time. Very Infrequently	I forget a person’s name almost as soon as I’ve been told it for the first time. Somewhat Infrequently	I forget a person’s name almost as soon as I’ve been told it for the first time. Somewhat Frequently	I forget a person’s name almost as soon as I’ve been told it for the first time. Very Frequently	I forget a person’s name almost as soon as I’ve been told it for the first time. Almost Always
It seems I am “running on automatic” without much awareness of what I’m doing.	It seems I am “running on automatic” without much awareness of what I’m doing. Almost Never	It seems I am “running on automatic” without much awareness of what I’m doing. Very Infrequently	It seems I am “running on automatic” without much awareness of what I’m doing. Somewhat Infrequently	It seems I am “running on automatic” without much awareness of what I’m doing. Somewhat Frequently	It seems I am “running on automatic” without much awareness of what I’m doing. Very Frequently	It seems I am “running on automatic” without much awareness of what I’m doing. Almost Always
I rush through activities without being really attentive to them.	I rush through activities without being really attentive to them. Almost Never	I rush through activities without being really attentive to them. Very Infrequently	I rush through activities without being really attentive to them. Somewhat Infrequently	I rush through activities without being really attentive to them. Somewhat Frequently	I rush through activities without being really attentive to them. Very Frequently	I rush through activities without being really attentive to them. Almost Always
I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there.	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Almost Never	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Very Infrequently	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Somewhat Infrequently	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Somewhat Frequently	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Very Frequently	I get so focused on the goal I want to achieve that I lose touch with what I am doing right now to get there. Almost Always
I do jobs or tasks automatically, without being aware of what I’m doing.	I do jobs or tasks automatically, without being aware of what I’m doing. Almost Never	I do jobs or tasks automatically, without being aware of what I’m doing. Very Infrequently	I do jobs or tasks automatically, without being aware of what I’m doing. Somewhat Infrequently	I do jobs or tasks automatically, without being aware of what I’m doing. Somewhat Frequently	I do jobs or tasks automatically, without being aware of what I’m doing. Very Frequently	I do jobs or tasks automatically, without being aware of what I’m doing. Almost Always
I find myself listening to someone with one ear while doing something else at the same time.	I find myself listening to someone with one ear while doing something else at the same time. Almost Never	I find myself listening to someone with one ear while doing something else at the same time. Very Infrequently	I find myself listening to someone with one ear while doing something else at the same time. Somewhat Infrequently	I find myself listening to someone with one ear while doing something else at the same time. Somewhat Frequently	I find myself listening to someone with one ear while doing something else at the same time. Very Frequently	I find myself listening to someone with one ear while doing something else at the same time. Almost Always
I drive places on “automatic pilot” and then wonder why I went there.	I drive places on “automatic pilot” and then wonder why I went there. Almost Never	I drive places on “automatic pilot” and then wonder why I went there. Very Infrequently	I drive places on “automatic pilot” and then wonder why I went there. Somewhat Infrequently	I drive places on “automatic pilot” and then wonder why I went there. Somewhat Frequently	I drive places on “automatic pilot” and then wonder why I went there. Very Frequently	I drive places on “automatic pilot” and then wonder why I went there. Almost Always
I find myself preoccupied with the future or the past.	I find myself preoccupied with the future or the past. Almost Never	I find myself preoccupied with the future or the past. Very Infrequently	I find myself preoccupied with the future or the past. Somewhat Infrequently	I find myself preoccupied with the future or the past. Somewhat Frequently	I find myself preoccupied with the future or the past. Very Frequently	I find myself preoccupied with the future or the past. Almost Always
I find myself doing things without paying attention.	I find myself doing things without paying attention. Almost Never	I find myself doing things without paying attention. Very Infrequently	I find myself doing things without paying attention. Somewhat Infrequently	I find myself doing things without paying attention. Somewhat Frequently	I find myself doing things without paying attention. Very Frequently	I find myself doing things without paying attention. Almost Always
I snack without being aware that I’m eating.	I snack without being aware that I’m eating. Almost Never	I snack without being aware that I’m eating. Very Infrequently	I snack without being aware that I’m eating. Somewhat Infrequently	I snack without being aware that I’m eating. Somewhat Frequently	I snack without being aware that I’m eating. Very Frequently	I snack without being aware that I’m eating. Almost Always

Workplace Behavior and Health
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1. Below is a collection of statements about your everyday experience. Using the scale below, please indicate how frequently or infrequently you currently have each experience. Please answer according to what really reflects your experience rather than what you think your experience should be.

Workplace Behavior and HealthExit this survey

1. Below is a collection of statements about your everyday experience. Using the scale below, please indicate how frequently or infrequently you currently have each experience. Please answer according to what really reflects your experience rather than what you think your experience should be.

Workplace Behavior and Health
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