Website MIT Questionnaire

1. about you and your workplace

8% of survey complete.

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* 1. This is a survey of the psychosocial factors in your workplace. It is based on the Copenhagen Psychosocial Questionnaire, and has been customized to address concerns particular to the Ontario workplace context. The Mental Injury Tool Group is responsible for its development and more information is available at www.ohcow.on.ca/mit.

This survey is designed to identify psychosocial factors at work which are associated with symptoms. The purpose is to identify factors which could be addressed to improve the psychosocial work climate at workplaces.

The Occupational Health Clinics for Ontario Workers working with various unions, labour support organizations and academics to analyze trends across the province and understand the dynamics of the workplace psychosocial environment. Your participation by completing this questionnaire will assist all these people and organizations in this effort to improve the psychosocial climate in Ontario workplaces.

Your participation in this survey implies that you have consented to the use of your survey responses in group reports, presentations and publications. All reports or publications derived from the survey responses will be presented in format which ensures that the identity of any individual respondent is not revealed and kept confidential.

I accept these conditions and consent to continue this survey:

Yes

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* 2. What economic sector do you work in?

Other (please specify)

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* 3. What is the name of your workplace?

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* 4. How many people are employed at this workplace?

less than 20

20 - 99

100 - 500

more than 500

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* 5. How long have you worked here?

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* 6. What is your job?

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* 7. Do you work for another employer in addition to your job at this workplace?

Yes

other

Other (please specify)

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* 8. Which of the following best describes the hours you usually work at your job?

Regular - daytime schedule or shift

Regular - evening shift

Regular - night shift

Rotating shift (change from days to evenings to nights)

Split shift

On call

Irregular schedule

Other

Other (please specify)

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* 9. On average, how many hours per week do you get paid for?

hours/week:

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* 10. On average, how many extra hours without pay do you work at this job per week (do not include hours which are exchanged for time off in lieu)?

hours/week:

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* 11. On average, how many minutes of your paid breaktime, per day, do you have to work through because of work demands?

minutes/shift:

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* 12. How many hours do you spend on paperwork/ administrative duties?

... by paperwork we mean:
“routine clerical or record-keeping work often incidental to a more important task” (http://www.merriam-webster.com/dictionary/paperwork)

percentage (%):

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* 2. What economic sector do you work in?

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* 3. What is the name of your workplace?

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* 4. How many people are employed at this workplace?

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* 5. How long have you worked here?

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* 6. What is your job?

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* 7. Do you work for another employer in addition to your job at this workplace?

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* 8. Which of the following best describes the hours you usually work at your job?

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* 9. On average, how many hours per week do you get paid for?

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* 10. On average, how many extra hours without pay do you work at this job per week (do not include hours which are exchanged for time off in lieu)?

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* 11. On average, how many minutes of your paid breaktime, per day, do you have to work through because of work demands?

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* 12. How many hours do you spend on paperwork/ administrative duties? ... by paperwork we mean: “routine clerical or record-keeping work often incidental to a more important task” (http://www.merriam-webster.com/dictionary/paperwork)

* 12. How many hours do you spend on paperwork/ administrative duties?

... by paperwork we mean:
“routine clerical or record-keeping work often incidental to a more important task” (http://www.merriam-webster.com/dictionary/paperwork)