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Workplace Stress Factors Analysis Checklist Template

The questionnaire can be used to carry out an analysis of the working conditions (in the whole company or at the individual workplace). The test enables the recognition of stress factors and optimization of resources (coping possibilities) in the company. This questionnaire checklist is anonymous. Please do not use names! Below are 11 subject areas with a total of 26 questions and statements on working conditions in the company. For each question/statement, please choose the one that best describes your situation from the five possible answers. Please do not leave out any line, otherwise, the test cannot be evaluated!

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Workplace Stress Factors Analysis Checklist Template

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Scope for Action

If the activity as a whole is considered, to what extent can the sequence of the steps in the work be determined by itself?
How much influence do workers have on the work they are assigned?
Can the work be planned and allocated independently?

Versatile Work

Can employees learn new things in their work?
Can employees make full use of their knowledge and skills in their work?
In my work, I have frequently changing, different tasks.

Comprehensive Work

In my work, I can see for myself from the result of whether my work was good or not.
My work is designed in such a way that I have the opportunity to produce a complete work product from start to finish.

Social Support

I can rely on my colleagues when things get difficult at work.
I can rely on my direct superior when things get difficult at work.
There is a good team spirit in the department.


This work requires close cooperation with other people in the company.
I can talk to different colleagues about business and private matters while working.
I get feedback from superiors and colleagues about the quality of my work.

Appropriate Work Requirements in Terms of Content

There are things in this job that are too complicated.
It demands too much of my concentration.

Appropriate Quantitative Work

I am often under time pressure.
I have too much work.

Appropriate Work Processes

Often the required information, materials and tools (e.g. computer, tools, ...) are not available to me.
I am interrupted again at my actual workroom (e.g. by the telephone).

Suitable Working Environment

At my workplace, there are unfavourable environmental conditions such as noise, climate, dust.
At my workplace, the rooms and room equipment are inadequate.

Information and Participation

I am sufficiently informed about important things and processes in our company.
The management of the company is prepared to take into account the ideas and suggestions of the employees.

Development Opportunities

The company offers good further training opportunities.
There are good opportunities for advancement.


All information has been provided in good faith.
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