June 2025
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1.
Years of service:
(Required.)
1-5 Years
5-10 Years
10+ Years
Retired
*
2.
What's your shift schedule?
(Required.)
24/48
24/72
48/96
Other (please specify)
*
3.
Do you have any other jobs?
(Required.)
Yes
No
Other (please specify)
*
4.
Region
(Required.)
Northeast
Southeast
Midwest
West
Southwest
Country/ region if not in U.S.
*
5.
Any kids?
(Required.)
Yes
No
*
6.
Do you openly accept help or gifts from others?
(Required.)
Yes
No
*
7.
Do you have plans or goals for retirement?
(Required.)
Yes
No
Other (please specify)
*
8.
After shift:
select all that apply
(Required.)
I'm rarely tired
I'm consistently tired
I need a day to recuperate
I'm easily overwhelmed with tasks
I'm not effected
I'm tired but functional
Other (please specify)
*
9.
When driving:
(Required.)
I'm easily annoyed at others
I'm calm and not effected by other's actions
I rage intensely, screaming and yelling at others
It depends on the day
*
10.
Do you enjoy going to training?
(Required.)
Yes
No
*
11.
List 2 non-job related activities or hobbies that you have.
(Required.)
*
12.
When feeling overwhelmed, I:
(Required.)
*
13.
I'm comfortable and or confident speaking to large groups of my peers.
(Required.)
Yes
No
*
14.
If you can make one immediate change in your department, what would it be, and why?
(Required.)
*
15.
I learn best in this environment:
(Required.)
Classroom Lecture
Hands-on
Technology Based
Your moms house
Scenario Based
Text Box
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