Shift Work Mental Health Survey
A short survey for shift workers to share how schedules affect sleep, stress, mood, and coping. Please answer based on your recent experience.
Respondent Profile
Role / Job Title
*
Shift Pattern
*
Fixed day shifts
Fixed night shifts
Rotating shifts
On-call shifts
Split shifts
Irregular shifts
Other
Shift Work Experience and Sleep
Average shifts per week
*
How often do shift changes disrupt your sleep?
*
Never
Rarely
Sometimes
Often
Always
Sleep quality over the past 2 weeks
*
Very poor
1
2
3
4
Very good
5
1 is Very poor, 5 is Very good
Mental Wellbeing and Work Impact
Overall stress level from shift work
*
Very low
1
2
3
4
5
6
7
8
9
Very high
10
1 is Very low, 10 is Very high
Mood or emotional strain from shift work
*
Very low
1
2
3
4
5
6
7
8
9
Very high
10
1 is Very low, 10 is Very high
How often does shift work interfere with your daily life or recovery time?
*
Never
Rarely
Sometimes
Often
Very often
Coping and Support
Coping strategies used
*
Support or workplace changes that would help
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