Manual Short Form- Health and Labour Questionnaire (SF-HLQ)

More documents

Recommendations

Info

Appendix I: QuestionnaireShort Form- Health and LabourQuestionnaireSF-HLQ19
This questionnaire concerns the consequences of health problems for employment in a paid joband for unpaid work (e.g. household chores). These questions pertain to the period covering thepast month. Health problems refer both to your physical and emotional problems.Date: ... - .. - 20..1. Do you currently hold a paid job?No, (go to question 9)Yes;How many hours does your contract specify? ………….…… hours per weekOver how many days are these hours distributed? ………….…… daysWhat is your occupation? ...................................................................................2. Did health problems oblige you to be off work at any time in the past month?NoYes, I missed ………….…… days of work(One week has a maximum of 5 days of work)Were you off work for a period longer than the past month because of health problems?NoYes, I reported ill on............... ............... ......................... (go on to question 8)People with health problems sometimes have to miss work because of these problems.Another possibility is that a person goes to work, but is unable to perform as well as he shouldbecause of health problems. Questions 18 through 22 focus on these aspects.3. Was your job performance adversely affected by health problems during the past month?No, not at all (go to question 8)Yes, slightlyYes, very much4. On how many days during the past month did you perform paid work, although you werebothered by health problems?....................... days (Please do not count the days on which you did not work at all becauseyou called in sick.)20
Page 1 and 2: ManualShort Form- Health and Labour
Page 3 and 4: User conditionsThis questionnaire w
Page 5 and 6: 1. IntroductionBackgroundIn economi
Page 7 and 8: Random sample size, effect size and
Page 9 and 10: Valuation module 1There are two met
Page 11 and 12: Individuals with health problems ar
Page 13 and 14: without absenteeism may also be val
Page 15 and 16: followed by the question of whether
Page 17 and 18: ‘unpaid help’ (what is known as
Page 19: 4. References1. Nederlandse richtli
Page 23 and 24: 9. Which of the following situation
Page 25 and 26: General questions1. Sex:malefemaleD
Page 27 and 28: Overstressed, depression, severe ne
Page 29 and 30: -3 = have paid work, nohindrance (H
Page 31 and 32: ecause of health problems4. Did not
Page 33 and 34: ALG3O Thyroid disease 1=YESALG3PPer

Manual Short Form- Health and Labour Questionnaire (SF-HLQ)

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?