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Project WOODCHUCK.
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The Ergonomic Assessment of an Animal Care Facility |
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1. Do you feel fatigue during or after work? If yes, how often?
Everyday Frequently Sometimes Rarely Never
2. Do you have headaches during or after work? If yes, how often?
Everyday Frequently Sometimes Rarely Never
3. Do you have any eye problems during or after work? If yes, how often?
Everyday Frequently Sometimes Rarely Never
a. Are there any specific tasks that cause eye problems?
b. If so, what are they?
4. Do you have any respiratory problems? If yes, how often?
Everyday Frequently Sometimes Rarely Never
5. Besides symptoms previously listed, what health concerns do you have?
6. On a scale of 1 to 10, how well do you believe you perform your job?
1 2 3 4 5 6 7 8 9 10
a. What could be done to help you do your job better?
b. If yes, what are your suggestions?
c. Has your job become more-less demanding over time?
c. If it has changed, how?
7. On a scale of 1 to 10, how stressful do you find your job?
1 2 3 4 5 6 7 8 9 10
8. How often have you had disagreements with your co-workers?
Everyday Frequently Sometimes Rarely Never
9. How often have you had disagreements with your bosses?
Everyday Frequently Sometimes Rarely Never
10. Are you given opportunities to voice your opinions to management?
Everyday Frequently Sometimes Rarely Never
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This page created by Kristen Tobing.
Send comments or questions to: ket3@cornell.edu
Last modified May 14, 1997