Workplace Health and Well-being Survey (COPSOQ III)

International Standard Version of the Copenhagen Psychosocial Questionnaire.
A modernized tool for assessing work organization and psychosocial risks, suitable for OSHA/NIOSH health management guidelines.

Privacy Statement: Only groups with a minimum of 5 participants will be evaluated separately in the corporate view. Smaller groups will be combined to ensure your absolute anonymity.

A. Statements about you and your workplace

A.1: In which area/department are you (primarily) employed?

A.2: What is your gender?

A.3: What is your age?

A.4: What is your profession (current job)?

A.5: Do the following items apply to you?

Yes No
Are you a supervisor of other employees?
Do you have a fixed-term employment contract?
Do you work full-time?

A.6: Questions about your working time. Do you work...

Yes No
At least once a month on weekends or holidays?
At least once a week at night (after 6:30 PM) or early morning (before 5:00 AM)?
At least once a week from home (Remote Work/Home Office)?
At least once a week out of the office / at a client site?

B. Statements about work and the job

B.1: The following questions pertain to your quantitative demands at work (Part 1).

Always Often Sometimes Seldom Never /
Hardly ever

B.1: Emotional demands of your work (Part 2).

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.2: The following questions pertain to work-life conflict. To what extent do you agree?

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.3: The following questions refer to how much influence and freedom you have at your work.

Always Often Sometimes Seldom Never /
Hardly ever

B.4: Possibilities for development and meaning of work. (Part 1)

Always Often Sometimes Seldom Never /
Hardly ever

B.5: Possibilities for development and meaning of work. (Part 2)

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.6: Now some questions regarding predictability, role clarity, and procedures at your work.

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.7: To what extent would you say that your immediate superior...

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent		 I do not have
a supervisor

B.8: The following questions refer to social support and your relationship with your colleagues and supervisor.

Always Often Sometimes Seldom Never /
Hardly ever		 I do not have
a supervisor / colleagues

B.8a: The next questions are not about your own job, but about the workplace as a whole (Trust and Justice).

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.8b: The following questions refer to your physical work environment:

Always Often Sometimes Seldom Never /
Hardly ever

B.9: Are you worried about... (Job insecurity)

To a very large
extent		 To a large
extent		 Somewhat To a small
extent		 To a very small
extent

B.10: During the last 12 months, how often have you thought about...

Never A few times
a year		 A few times
a month		 A few times
a week		 Every
day

B.11: Regarding your work in general. How pleased are you with...

Very
satisfied		 Satisfied Neither satisfied /
Nor dissatisfied		 Dissatisfied Very
dissatisfied

Now some questions regarding your work and health

B.12: Your health status: If you rate the best conceivable health status with 10 points and the worst with 0 points: How many points do you give your current health status?

0 (Worst possible)
10 (Best possible)

B.13: Energy and mental well-being: How often...

Always Often Sometimes Seldom Never /
Hardly ever

B.14: How often do the following statements apply to you?

Always Often Sometimes Seldom Never /
Hardly ever

C. Free Comments