Respected Madam,
I am a final semester MBA student of SS ACADEMY OF MANAGEMENT AND SCIENCE,
THIRUVALLA. As part of my curriculum I would like to do a project on A study on
evaluation of employee engagement with special reference to The St. Antonys Motors,
Kottayam. I request your kind cooperation by giving relevant details for the study. The
information provided by you will be used only for the purpose of my study and will be kept
confidential.
CLASSIFICATION DETAILS
Name: Gender: Male/ Female:
CLASSIFICATION DETAILS
Job Category: Staff/Supervisor/Executive: Marital status:
Department: Age:
No of years with The St. Antonys Motors:
Location from work (Please tick):
Below 2km, 2km – 5km, 5km – 8km, 8km – 11km
Directions: Respond to the following statements as truthfully as possible with one of four
answers: Always True, Often True, Sometimes True, Not True.
1. I feel increasing anger at my co-workers and detached from the people around me.
a) Always True b) Often True c) Sometimes True d) Not True
2. I feel overwhelmed and out of control when I am at work.
a) Always True b) Often True c) Sometimes True d) Not True
3. I come home from work and find myself completely exhausted/fatigued.
a) Always True b) Often True c) Sometimes True d) Not True
4. I seem to be more susceptible to colds and other illnesses recently.
a) Always True b) Often True c) Sometimes True d) Not True
5. I feel besieged at work, like nothing I do is right anymore.
a) Always True b) Often True c) Sometimes True d) Not True
6. I find myself exploding in anger at the most inconsequential things.
a) Always True b) Often True c) Sometimes True d) Not True
7. My weight and eating patterns have changed dramatically recently (resulting in weight
gain or loss).
a) Always True b) Often True c) Sometimes True d) Not True
8. I have noticed a definite change in my sleep pattern (either much harder to fall
asleep/insomnia or needing more sleep/harder to get up in the mornings).
a) Always True b) Often True c) Sometimes True d) Not True
9. I have been finding more and more excuses to skip work/call in sick.
When I am at work, I find it hard to concentrate on doing my job.
a) Always True b) Often True c) Sometimes True d) Not True
10. I feel like I just don't really do a good job anymore.
a) Always True b) Often True c) Sometimes True d) Not True
11. I have a sense of being isolated/alone.
a) Always True b) Often True c) Sometimes True d) Not True
12. I have noticed that I have become much more negative and cynical about my job and
employer.
a) Always True b) Often True c) Sometimes True d) Not True
13. I can't even remember the last time I was enthusiastic about my job.
a) Always True b) Often True c) Sometimes True d) Not True
14. I'm having relationship problems with my family, more stress, conflicts, and fights.
a) Always True b) Often True c) Sometimes True d) Not True
15. I increasingly feel that things are simply spinning out of my control.
a) Always True b) Often True c) Sometimes True d) Not True
16. I'm experiencing more physical ailments -- headaches, stomachaches, ulcers.
a) Always True b) Often True c) Sometimes True d) Not True
17. It just seems like I have lost interest and care for the things I used to value, like I am
emotionally empty.
a) Always True b) Often True c) Sometimes True d) Not True
18. I am often sad for no particular reason.
a) Always True b) Often True c) Sometimes True d) Not True
19. I wake up in the morning and often wonder why I even bother showing up at my job.
a) Always True b) Often True c) Sometimes True d) Not True
20. You feel that there is more work to do than you practically have the ability to do
a) Always True b) Often True c) Sometimes True d) Not True
21. You get adequate recognition for the job you perform
a) Always True b) Often True c) Sometimes True d) Not True
22. Your job is well communicated to you
a) Always True b) Often True c) Sometimes True d) Not True
23. You have to work long hours and handle a more intense workload for a time
a) Always True b) Often True c) Sometimes True d) Not True
24. To what extent does your job require you to use the following?
Physical Faculties 1 2 3 4 5
Mental Faculties 1 2 3 4 5
1 – Never, 2 – Rarely, 3 – Sometimes, 4 – Often, 5 – Always