Fourgons Leclair - Assessing psychosocial risks within a company

Company Name

Department

I am free to decide my own working hours

Strongly agree

I agree.

In disagreement

Strongly disagree

I have an impact on organization and decisions at work

Strongly agree

I agree.

In disagreement

Strongly disagree

I have influence over the amount of work assigned to me

Strongly agree

I agree.

In disagreement

Strongly disagree

I can take vacations more or less whenever I like

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on your decision-making authority (Optional)

I'm overwhelmed by the amount of work I have to do

Strongly agree

I agree.

In disagreement

Strongly disagree

Enough employees to get the job done

Strongly agree

I agree.

In disagreement

Strongly disagree

The time I have available is adequate for my work

Strongly agree

I agree.

In disagreement

Strongly disagree

Repeated interventions by my superior, colleagues or customers interfere with my concentration.

Strongly agree

I agree.

In disagreement

Strongly disagree

I work in a job that puts intense demands on my mental or physical abilities

Strongly agree

I agree.

In disagreement

Strongly disagree

The directives I receive from my superior or colleagues are sometimes contradictory.

Strongly agree

I agree.

In disagreement

Strongly disagree

I don't have enough work to keep me busy all day

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on your workload (Optional)

I consider my pay to be fair and adequate

Strongly agree

I agree.

In disagreement

Strongly disagree

My job gives me access to interesting career prospects

Strongly agree

I agree.

In disagreement

Strongly disagree

I receive recognition and respect from my peers and superiors

Strongly agree

I agree.

In disagreement

Strongly disagree

I feel I'm at risk of losing my job

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on your recognition at work (Optional)

Collaboration with my colleagues lightens my workload

Strongly agree

I agree.

In disagreement

Strongly disagree

I feel part of the team at work

Strongly agree

I agree.

In disagreement

Strongly disagree

Good cooperation between colleagues

Strongly agree

I agree.

In disagreement

Strongly disagree

I have a strong enough bond with colleagues to be able to talk to them about my problems at work, should the need arise.

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on your support for colleagues' work (Optional)

My superior helps me to accomplish my missions with ease.

Strongly agree

I agree.

In disagreement

Strongly disagree

My superior takes my words into consideration

Strongly agree

I agree.

In disagreement

Strongly disagree

I trust my superior enough to confide my work-related problems to him or her.

Strongly agree

I agree.

In disagreement

Strongly disagree

I am able to talk to my supervisor when I experience a personal situation that may affect my work performance.

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on your support for the work of superiors (Optional)

The company has a policy for preventing violence and harassment and for handling complaints.

Strongly agree

I agree.

In disagreement

Strongly disagree

Every worker is treated fairly and equitably

Strongly agree

I agree.

In disagreement

Strongly disagree

Inappropriate behavior is tolerated in the company

Strongly agree

I agree.

In disagreement

Strongly disagree

I have been made aware of manifestations of incivility and psychological, sexual and discriminatory harassment.

Strongly agree

I agree.

In disagreement

Strongly disagree

Conflicts are dealt with quickly to avoid escalating into harassment.

Strongly agree

I agree.

In disagreement

Strongly disagree

Comments on harassment in the workplace (Optional)

In the course of my work, I have been exposed to an event that I experienced as particularly shocking or traumatic.

Strongly agree

I agree.

In disagreement

Strongly disagree

I involuntarily think back to a difficult event at work (memories, images, thoughts).

Strongly agree

I agree.

In disagreement

Strongly disagree

Certain elements in my work environment (places, situations, people, tasks) remind me of a difficult event and make me feel uncomfortable.

Strongly agree

I agree.

In disagreement

Strongly disagree

I avoid certain situations or work activities because they remind me of a difficult event.

Strongly agree

I agree.

In disagreement

Strongly disagree

I feel more easily tense, irritable or on edge at work after a difficult event.

Strongly agree

I agree.

In disagreement

Strongly disagree

I've had difficulty concentrating or being fully present at work since a difficult event.

Strongly agree

I agree.

In disagreement

Strongly disagree

I'm still experiencing strong physical or emotional reactions (stress, anxiety, fatigue, sadness) linked to a past professional event.

Strongly agree

I agree.

In disagreement

Strongly disagree

Psychosocial risk assessment

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Psychosocial risk assessment

Allow us the pleasure of participating in the growth of your business!

Contact information

Contact us

Made by webez

Complete this form to begin the process to verify your eligibility.We will contact you soon to discuss with you in order to analyze your file.

Complete this form to begin the process to verify your eligibility.
We will contact you soon to discuss with you in order to analyze your file.