The following questions ask you to describe things you like and dislike about your current role and your general well-being. Please answer all the questions, ticking the answer which best describes what you do most of the time.
11. The statements below concern how satisfied you feel with different aspects of your role. How satisfied are you with:*
Not at all
To a small extent
Neither great nor small extent
To a great
extent Completely To listen to you when you need to talk
about problems at work?
( ) ( ) ( ) ( ) ( )
To help you with a difficult task at work? ( ) ( ) ( ) ( ) ( )
Not at all
To a small extent
Neither great nor small extent
To a great
extent Completely Count on your colleagues to listen to you
when you need to talk about problems?
( ) ( ) ( ) ( ) ( )
Count on your colleagues to back you up at work?
( ) ( ) ( ) ( ) ( )
Count on your colleagues to help you with a difficult task at work?
( ) ( ) ( ) ( ) ( )
Really count on your colleagues to help you in a crisis situation at work, even though they would have to go out of their way to do so?
( ) ( ) ( ) ( ) ( ) Extremely dissatisfied Very dissatisfied Moderately dissatisfied Not sure Moderately satisfied Very satisfied Extremely satisfied The physical work
conditions?
( ) ( ) ( ) ( ) ( ) ( ) ( )
The freedom to choose your own method of working?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your fellow workers? ( ) ( ) ( ) ( ) ( ) ( ) ( )
The recognition you get for good work?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your Clinical Supervisor?
The following questions ask you about your general well-being and motivation. Please answer all the questions. It is possible that completing some questions may draw your attention to problems you
experience. If you are worried that these are serious, we would advise you to contact your GP. 12. In the last month, how much of the time has your current role made you feel:*
13. Thinking of your current role, how true are the following:* Extremely dissatisfied Very dissatisfied Moderately dissatisfied Not sure Moderately satisfied Very satisfied Extremely satisfied The amount of
responsibility you are given?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your rate of pay? ( ) ( ) ( ) ( ) ( ) ( ) ( )
Your opportunity to use your abilities?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Relations between doctors and other health-care professionals?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your chance of career progression?
( ) ( ) ( ) ( ) ( ) ( ) ( )
The way the department is managed?
( ) ( ) ( ) ( ) ( ) ( ) ( )
The attention paid to suggestions you make?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your hours of work? ( ) ( ) ( ) ( ) ( ) ( ) ( )
The amount of variety in your job?
( ) ( ) ( ) ( ) ( ) ( ) ( )
Your job security? ( ) ( ) ( ) ( ) ( ) ( ) ( )
Not at all Just a little A moderate amount Quite a lot A great deal
Gloomy ( ) ( ) ( ) ( ) ( ) Uneasy ( ) ( ) ( ) ( ) ( ) Worried ( ) ( ) ( ) ( ) ( ) Tense ( ) ( ) ( ) ( ) ( ) Depressed ( ) ( ) ( ) ( ) ( ) Miserable ( ) ( ) ( ) ( ) ( ) Strongly
disagree Disagree Neutral Agree
Strongly agree
I often think about leaving medicine? ( ) ( ) ( ) ( ) ( )
It is very likely that I will actively look for a new job outside medicine in the next year?
( ) ( ) ( ) ( ) ( )
I am starting to ask my friends/contacts about other job possibilities outside medicine?
Please answer the following questions about your overall motivation in your current role by marking the most accurate answer.
14. How would you rate the amount of effort you put into your job?* ( ) Very low
( ) Low ( ) Moderate ( ) High ( ) Very high
15. I consistently put forth the maximum effort possible at work.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
16. How much of your total, maximum possible effort do you put into your job?* ( ) 50% or less
( ) 51–75% ( ) 76–85% ( ) 86–95% ( ) 96–100%
Please answer each question in relation to your current role by marking the most accurate answer. 17. It is not clear to me how much effort to put into different parts of my job.*
( ) Strongly disagree ( ) Disagree
( ) Neutral ( ) Agree
( ) Strongly agree
18. I divide my time across tasks in the way that is most helpful to the organisation.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
19. My supervisor and I agree on what tasks are most and least important.* ( ) Never
( ) Rarely ( ) Sometimes ( ) Usually ( ) Always
Please answer each question by marking the box that gives your opinion. We want to know how much effort in your role influences how good or bad your job outcomes are (such as criticisms, feelings of accomplishment, friendships).
20. I get better job outcomes if I increase my level of effort.* ( ) Never
( ) Rarely ( ) Sometimes ( ) Usually ( ) Always
21. There is a strong tie between how hard I work and how good my job outcomes are.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
22. Working hard on this job is not rewarded.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
23. Would you describe yourself as typically:*
Extremely inaccurate Very inaccurate Moderately inaccurate Slightly inaccurate Not sure Slightly accurate Moderately accurate Very accurate Extremely accurate Careless ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Disorganised ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Efficient ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Inefficient ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Organised ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Practical ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Sloppy ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Systematic ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )
24. People cope with difficult, stressful or upsetting situations in a variety of ways. Please read each statement and select the response that best indicates how much you tend to react in that way when faced with a difficult, stressful or upsetting situation. When faced with a difficult/stressful situation:*
Thinking of the decisions (or judgements) about patient care that you have made during your current role assess the following statements:
25. I am confident that I made the appropriate decisions.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
26. Considering the information available to me I made the best decisions possible.* ( ) Strongly disagree
( ) Disagree ( ) Neutral ( ) Agree
( ) Strongly agree
Never Seldom Sometimes Often
Very often I try tofigure out how to resolve the problem ( ) ( ) ( ) ( ) ( ) I act as though nothing happened, hoping it will go away ( ) ( ) ( ) ( ) ( ) I seek the support and guidance of other people ( ) ( ) ( ) ( ) ( ) I get upset or angry with the people who cause the problem ( ) ( ) ( ) ( ) ( ) I change something so the situation will improve ( ) ( ) ( ) ( ) ( ) I avoid the problem by sleeping, watching TV, engaging
in diversionary activities more
( ) ( ) ( ) ( ) ( )
I ask someone I respect for advice ( ) ( ) ( ) ( ) ( )
I try to get back at those who created the trouble ( ) ( ) ( ) ( ) ( ) I come up with a couple of strategies to make the
situation better
( ) ( ) ( ) ( ) ( )
I keep my concerns and emotions about the situation to myself
( ) ( ) ( ) ( ) ( )
I talk to friends or family about my circumstances ( ) ( ) ( ) ( ) ( ) Ifigure out who was responsible for what happened ( ) ( ) ( ) ( ) ( ) I double my efforts to correct the situation and achieve
my objective
( ) ( ) ( ) ( ) ( )
I put off dealing with the matter ( ) ( ) ( ) ( ) ( )
I get sympathy and understanding from someone ( ) ( ) ( ) ( ) ( ) I make sure that those responsible for the problem
receive their due punishment
27. How much assistance did you need in making these decisions?* ( ) None at all ( ) Just a little ( ) A moderate amount ( ) Quite a lot ( ) A great deal
28. Thinking of your current role did you have:*
29. Thinking about your current role:*