Appendix la Jenkins Activity Survey
FORM C C. David Jenkins, Ph. D. Stephen J. Zyzanski, Ph. D. Ray H. Rosenman, M. D.
Name •Age. Sex.
College/ 0 epartmen t
Instructions ; —
The jenkins Activity Survey asks questions about aspects of behavioui (hat have been found helpful in medical diagnosis. Each person is different, so there are no "right" or "wrong" answers. For each question, choose the answer that is tme for you, and fill in the space in front of that answer. Use a
1. Do you ever have trouble finding time to get your hair cut or styled ?
A D Never BQ Occasionally C D Almost always
2. How often does your job "stir you into action" ? A D Less often than most people's jobs B D About average CQ More than most people's jobs
3. Is your everyday life filled mostly by A D problems needing a solution ? B D challenges needing to be met ?
a rather predictable routine of events ? o n not enough things to keep me intersted or busy ?
4. Some people live a clam, predictable life. Others often find themselves facing unexpected changes, frequent interruptions, inconveniences, or "things going wrong " How often are you faced with
these minor (or major) annoyances or frustrations? A D Several times a day B D About once a day CQ A few times a week DO Once a week E D Once a month or less
5. When you are under pressure or stress, what do you usually do ?
A D DO something about it immediately B D Plan carefully before taking any aciion
Designation.
black lead pencil, and make your marks heavy and dark. Mark only one answer for each question If you change your mind, erase the old mark completely
Do not mtike aay stray marks.-
6 Ordinarily, how rapidly do you eat ? A D I'm usually the first one finished. ®D I eat a little faster than average '^D I eat at about the same speed as most people. D D I eat more slowly than most people.
7. Has your spouse or a friend ever told you that ? you eat too fast ?
A D Yes, often B D Yes, once or twice CD No , never
8. How often do you find yourself doing more than one thing at a time, such as working while eating, reading while dressing or figuring out problems while driving ?
A D I do two things at once whenever practical. BD 1 do this only when I'm short of time '^D I rarely or never do more than one thing at a
time.
9. When you listen to jomeone talking, and this person takes too long to come to the point, how often do you feel like hurrying the person along ?
AD Frequently B D Occasionally C D Almost never
10 How often do you actually "put words in the person's mouth" in order to speed thiags up ?
A D Frequently B D Occasionally CD Almost never
m
11. If you tell your spouse or a friend that you will nieet somewhere at a definite time, how of ten do you arrive late ?
A D Once in a while BQ Rarely C D I am never late
12. H o w often do you find yourself hurrying to get places even when there is plenty of time ?
•AO Frequently B D Occasionally
Almost never
18. Would your spouse (or closest friend") rate you as definitely hard-driving and competit ive ?
B Q probably hard-driving and competitive ? ^ Q probably relaxed and easygoing? o n definitely relaxed and easygoing ?
19. Would your spouse (or closest friend) rate your general level of activity as
A Q too Slow —should be more activc ? ^ D about average—busy much of the time ? CQ too active—should s low down ?
13. Suppose you are to meet someone at a public place ( street corner, building lobby, restaurant) and the other person is already 10 minutes late. What will you do ?
A D Sit and wait B Q Walk about while waiting
Usually carry some reading matter or writing paper so I can get something done while
.waiting
14. When you have to "wait in line" at a restaurant, a store, or the post of lke , what do you do ? Accept it calmly
B D Feel impatient but not show it C D Feel so impatient that someone watching can tell
I am restless
I^D Refuse to wait in line, and find wiijs to avoid
such delays
15. When you play games with young children about 10 years old (or when you did so in ra i l years), how often do you purposely let, ihem win ?
A Q Most of the time B D Half the time C D Only occasionally
Never ' '
16. When you were younger, did most people consider you to be
A Q definitely haid-driving and competitive ? BQ probably hard-driving and competit ive ? CQ probably more relaxed and easygoing ? o n definitely more relaxed and easygoing ?
17. Nowadays , do you consider yourself to be A D definitely hard-driving and competitive ? B n probably hard-driving and competit ive ? C Q probably more relaxed and easygoing ? •^D definitely more relaxed and easygoing ?
20. Would people you know well agree that you take your work too seriously ?
A D Definitely yes B D Probably yes c D Probably no I J ^ Lefinitely no
21. Would people you know well agiee that yau have less energy than most people ? .
A Q Definitely yes
Brj Probably yes C D Probably no D Q Definitely no
22. Would people you know well iigree that you tend to get irritated easily ?
A D Definitely j e s B D Probably yes C D Probably no D Q Definitely no
23. Would people w h o know you well agree that you tend to do most things in a hurry ?
A n Definitely yes B D Probably yes C D Probably no D D Definitely no
24. Would people who know y o u well agree that you enjoy a "contest" (competit ion) and try haid to win ?
A D Definitely yes B D Probably yes C D Probably no D D Definitely no Page 2
to'
25 H o w was your temper when you were yquoger ? 32. At work, do you ever keep two jobs moving • forward at the same time by shifting back and
' ; • forth rapidly from one to the oiher ? ' • ' A Q NO . Never " \ ' - ' • '
B D Yes, but only in emergencies C D Yes, regularly
A O Fiery and hard to control ^ ^Q. Strong but controllable C O N o problem D O 1 almost never got angry .
26 H o w is your temper nowadays ?
Fiery and hard to control ® n Strong but controllable
N o problem D Q I almost never get angry.
27 . When you are in the midst of doing ajot) and someone (not your boss) interrupts you, how do you usually feel inside ?
ACj 1 feel O.K because I work better after an occas-ional break .
b D 1 feel only mildly annoyed . = ' • C D 1 really feel irritated because most such interrup-
tions are unnecessary.
. , • , ,, 'i.h 2 8 . ' H o w often are there deadlines on your job ? • •
AD ' Daily or more of ten ' ' ' > •„ . j h-B D Weekly ; .. CQ Monthly or less often D O Never
29, Thtse deadlines usually carry ' ' .
A n Minor pressure because of their routine nature . B n Considerable pressure, since del^y would upset
my entire work group . CQ Deadlines never occur on my job .
33. Are you content to remain at your present job level for the next five years ?'
A n Yes BQ No, 1 want to advance C D Definitely no; I strive to advance and would be
dissatisfied if not promoted in that length of time.
34. If you had your choice, which would you rather get ? • ,
A n A small increase in pay without a promot ion to • : , a higher level job
BO A promot ion to a higher level j o b without an increase in pay . , , > , .
35 In the past three years,-have you ever taken less , than your allotted number of vacation days ?
A D Yes . • . s - . . . BQ N o .i , CQ My type of job does n o t - p r o v i d e regular
vacations.
i - ' I.. • > .
36 In the last three years, h e w has your personal' yearly income changed ?• • '» * • •
AQ l i has remained the same or gone d o w n
B D It has gone up slightly (as the result of cost-of-living increases or automatic raises based on years of service). ;
C Q It has gone up considerably. „
30. D o you ever set deadlines or quotas for yourself at work or at home ? ' I • • . I... •
AD N o ,,, , . • Yes, but only occasionally
c D Yes, once a week or more
31. When you have to work against a deadline, what is the quality of your work ? , . ^
KO BtUM BD Worse CQ The same (Pressure makes no difference)
37. J{ow often do you bring your work home with you at night, or study materials related to your j o b ?
A Q Rarely or, never ,
B D Once a week or less , CQ More than once a week < . ,,,
i 38. H o w often do you go to your place of work when
you are not expected to be there (such as nights or weekends)?
A D It is not possible on my job. B D Rarely or never ' ' ^ O Occasionally (less than once a week) • '
Once a week or more ' Page 3
39. When you find yourself getting tired on the job, what do you usually do?
A Q Slow down for a while until my strength conaes back Keep pushing myself at the same pace in spite of the tiredness
40. When you are in a group, how often do the other people look to you for leadership ?
A D Rarely
About as often as ihey look to others c n More often than they look to others
41. How often do you make yourself written lists to help you remember what'needs to be done ?
A D Never Occasionally
CQ Frequently For questions 42-46, compare yourself with the average worker in your present occupation, and mark the most , accurate description. ,
42. In amount of efTori put forth, 1 give A • much more effort. BQ a little more effort. C D a little less effort. D Q much less effort.
43. In sense of responsibility, 1 am A Q much more responsible. . B D a little more responsible. ^ D a little less responsible,
much less responsible. •
44. 1 find it necessary to hurry A Q much more of the time. B Q a little more of the time C Q a little less of the .time. DQ much less of the time. ,
45. In being precise (careful about detail), 1 am much more precise. ' ; .
BD a little more precise CD a little less precise. D Q much less precise.
46 1 approach life in general AQ much more seriously. Bin a little more serioujly. C D a little less s e r i o u | 1 | ^ | •
much less scrifiusJy^Sf;!
For questions 47-49, compare your present work with your work setting of five ' years ago. If you have not been working for five years, compare your present job with your first job.
47. 1 worked more hours per week AD at my present job. ®D five years ago.
Cannot decide
48. I carried more responsibility A D at my present job Bp . five years ago. -c p Cannot decide.^
49. I was considered to be at a higher level (in prest-ige or social position ) A D at my present job. ® n five years ago ^ D Cannot decide.
50. How many different job titles have you held i ^ h e last 10 years? (Be sure to count shifts in kinds of w o r k , . shifts to new employers, and shifts up and down with-in a firm ) - . AD 0-1 BQ 2 C D 3 • • o n 4 , EQ 5 or more
51 How much schooling did you receive? AQ 0-4 years BQ 5-8 years C D Some high school D Q Graduated from high school
E D Trade school or business college F Q Some college (including junior college) G D Graduated from a four-year college HD Postgraduate work at a college or university
52. When you were in school, were you an officer of any group, such as a student council , glee club-4-H club, sorority or fraternity, or captain of an athletic team ?
A D N o ®D Yes, I held one such position. C D Yes, I held two or more such positions.
Page 4
Appmrlix 1b
ORS SCALE Please do not write anythins on these pages. Responses should be given
on a separate answer sheet provided to you.
.^People have different feelings about their roles. Statements describing some such feelings are given below. Use the answer sheet to write your responses. Read each statement and indicate in the space against the T corresponding number in the answer sheet how often you have the feeling expressed in the statement in relation to your role in your organisation. Use the numbers given below to indicate your own feelings. " • > -
If you find that the category to be used in answering does not adeqijately indicate your own feelings, use the one which is closest to the way you feel. Do hot leave any item unanswered. Answer the items in the order given below.
Write 0 ' if you never or rarely feel this way
" 1 if you occasionally (a few times) feel this way
" 2 if you sometimes feel this way
- " 3 if you frequently feel this way
" 4 if you very frequently or always feel this way
1. My role tends to interfere with my family life.
2. I am afraid I am not learning enough in my present role for taking up higher responsibility.
3. 1 am not able to satisfy the conflicting demands of various people over me.
4. My role has recently been reduced in importance.
5. My workload is too heavy.
Prepared by Udai Pareek and published by Navin Publications, Ahmedabad. © 1982, Udai Pareek Reproduction in any form will violate the copyright.
Write 0 if you never or rarely feel this way
" 1 if you occasionally (a few times) feel this.way
" 2 if you sometimes feel this way
" 3 if you frequently feel this way
" 4 if you very frequently or always feel this way
6. Other role occupants do not sive enoush attention and time to my role.
7. I do not have adequate knowledge to handle the responsibilities in my role.
8. I have to do things In my role that are against my better judgement.
9. I am not clear on the scope and responsibilities of my role (job).
10. I do not get information needed to carry out responsibilities assigned to me.
11.1 have various other interests (social, religious, etc.) which remain neglected because I do not get time to attend to these.
12. I am too preoccupied with my present role responsibility to be able to prepare for taking higher responsibility.
13. I am not able to satisfy the conflicting demands of the various peer level people and my juniors.
14. Many functions of what should be a part of my role have been assigned to some other role.
15. The amount of work I have to do interferes with the quality I want to maintain,
16. There is not enough interaction between my role and other roles.
17. I wish I had more skills to handle the responsibilities of my role.
18. I am not able to use my training and expertise in my role.
19. I do not know what the people I work with expect of me.
20. I do not get enough resources to be effective in my role.
}IZ
Write 0 if you never or rarely feel this way
" 1 if you occasionally (a few times) feel this way
" 2 if you sometimes feel this way
" 3 if you frequently feel this way
" 4 if you very frequently or always feel this way
21. My role does not allow me to have enoush time with my family,
22. I do not have time and opportunities to prepare myself for future challenses of my role.
23. I am not able to satisfy the demands of clients and others, since these are conflicting with one another.
24. I would like to take more responsibility than I am handling at present.
25. I have been given too much responsibility.
26. I wish there was more consultation between my role and other roles.
27. I have not had pertinent training for my role.
28. The work I do in the organisation is not related to my interests.
29. Several aspects of my role are vague and unclear.
30. I do not have enough people to work with me in my role.
31. My organisational responsibilities interfere with my extra-organisational roles.
32. There is very little scope for personal growth in my role.
33. The expectations of my seniors conflict with those of my juniors.
34. I can do much more than what I have been assigned.
35. There is a need to reduce some parts of my role.
Write 0 if you never or rarely feel this way
" 1 if you occasionally (a few times) feel this way
" 2 if you sometimes feel this way
" 3 if you frequently feel this way
" 4 if you very frequently or always feel this way
36. There is no evidence of involvement of several roles (includins my role)in joint problem splvins or collaboration in plannins action.
37. I v/ish I had prepared myself well for my role.
38. If I had full freedom to define my role I would be dolns some thinss different from what I do now.
39. My role has not been defined clearly and in details.
40. I am rather worried that I lack the necessary facilities needed in my role.
41. My family and friends complain that I do not spend time with them due to heavy demands of my work role.
42. I feel stasnant in my role.
43. I am bothered with the contradictory expectations different people have from my role.
44. I wish I had been siven more challenging tasks to do.
45. I feel overburdened in my role.
46. Even when I take initiative for discussions or help, there is not much response from other roles.
47. I need more training and preparation to be effective in my work role.
48. I experience conflict between my values and what I have to do in my role.
49. I am not clear as to what are priorities in my role.
50. I wish I had more financial resources for the work assigned to me.
ANSWER SHEET ORS SCALE
Read instructions carefully before responding on this sheet
NAME SEX AGE DATE
ROLE ORGANISATION
1.
2.
3,
4,
5,
6
7.
8
9
10
11.
12.
13.
14.
15.
16.
17,
18.
19.
20.
21.
22.
23.
24.
25.
26
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48
49.
50.
IRD 1
RS 2
REC 3
RE 4
RO 5
R1 6
PI 7
SRD 8
RA 9
Rin 10
Prepared by Udai Pareek and published by Navin Publications, Ahmedabad. ©1982, Udai Pareek Reproduction in any form will violate the copyright.
Appendix 1c SOCIAL SUPPORT QUESTIONNAIRE
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Appendix IV-A
A n a l y s i s o f v a r i a n c e (2x2x2 )
Accord ing to f o rmula : 2
Step I = C = (Grand sum) W
Where
C = c o r r e c t i o n term
N = T o t a l Number o f S u b j e c t s .
Grand Sum = 2 X^ ^
^ X^ = T o t a l s c o r e s of group I
^ X^ = T o t a l s co r e s of group I I and so on.
Step I I T o t a l Sim of squares ( T s s )
Tss = ( X^ + + Xg + + •X^)-C
Step I I I Sum of squares between groups (SSB)
SSB = a x . ( I X ^ ) ^ ±_ + ± S - _ c
n n n
Where n = Number of s u b j e c t s in a group.
Step IV Sum of squares w i th in groups (SSW)
SSW = Tss-SSB
Step V . S i g n i f i c a n c e of SSB
A n a l y s i s o f v a r i a n c e showing the SSB and SSW f o r
the data o f t a b l e .
Sources of Var i a t ion
Sum of Squares d . f . Mean p
Squares P
Between groups SSB (K -1 ) SSB/(K-1)
Within group SSW (N-K ) SSW/(N-K)
SSB/(K-1) SSW/(N-K)
s t ep VI P a r t i t i o n i n g the between sum of squares :
Main e f f e c t s comparison between Med ica l ( A^ ) and
Academic ( A g )
Work setup ( A ) = , N
128
N - C
Behavior P a t t e r n ( B )
Comparison between t ype A (B^) and t ype B (B2)
-VT ~ C N N
Comparison between Males (C^ ) and Females (C^ )
Gender (C ) = N N
Step V I I P a r t i t i o n i n g the between Sum of Squares
I n t e r a c t i o n E f f e c t s
I n t e r a c t i o n between A x B
a b-
<1 c d
I n t e r a c t i o n (AxB) = _ [ U + d ) - ( b + c 4xn
12
Where A = Work wet up
B = Behav io r p a t t e r n
Type ( A ) b e h a v i o r p a t t e r n
Type (B ) b ehav i o r p a t t e r n
Med i ca l S e t t i n g
Academic S e t t i n g
a = Type A in Med i ca l S e t t i n g s
b = Type B in Med i ca l S e t t i n g s
c = Type A in Academic S e t t i n g
d = Type B in Academic S e t t i n g s
S i m i l a r l y I n t e r a c t i o n (AxC) and BxC)
I n t e r a c t i o n AxBxC Sum o f Squares .
= SSB- [ ( A ) + (B ) + (C ) + (AxB) + (AxC) + (BxC);
Step V I I I Summary of A n a l y s i s o f Va r i ance ( 2 x 2 x 2 ) .
Sources of Sum of d . f V a r i a t i o n Squares
A
B
C
AxB
AxC
BxC
AxBxC
With in groups
(A)
( B )
( C )
(AxB)
(AxC)
(BxC)
(AxBxC)
SSW
1
1
1
1
1
1
1
(N -K )
Mean Aquares
(B )
( C )
(AC)
(A)/
(B )/
( C ) /
F
SSW (N -K ) SSW (N -K ) SSW (N -K )
CAP/SSW
(BC) ( B C ) / | | L
(ABC) ( A B C ) / | | ^
SSW/(N-K)
5 0
Appendix IV-B
C o r r e l a t i o n C o e f f i c i e n t (product moment)
According t o f o rmula
I x y r =
LX
Where r = C o r r e l a t i o n C o e f f i c i e n t
X = ( X - X )
y = (y-y)
X , y = Raw Scores .
xy = Sum of the product of d e v i a t i o n s in X V
s e r i e s c a l c u l a t e d w i th r e f e r e n c e t o t h e i r
a i r t h m a t i c means. 2
X = Sum of Squares of d e v i a t i o n s of X s co res
from t h e i r mean. 2
y = Sum of Squares of d e v i a t i o n s o f y s c o r e s
from t h e i r mean.
b o h t a k
/
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