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Exit Survey
 
 
Hello:
You are invited to participate in our survey. This survey should take approximately 10 minutes to complete and asks 20 questions about coping mechanisms used by operational ems personnel. 

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions and the key in responding to this survey is honesty.  Please be as truthful as possible as  incorrect conclusions may be drawn should you be less than completely honest in your answers.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will always remain confidential. If you have questions at any time about the survey or the procedures, you may contact Denver Ramnarain or ________________ at 0837019222 and ____________________ or by email at the email address specified below.

[email protected]
________________________________________
Supervisor: Dr K Govender 
Durban University of Technology
________________________________________

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* AGE
 
17 to 25
 
26 to 35
 
36 to 45
 
46 to 55
 
>55
 
 
 
Gender?
 
Male
 
Female
 
 
 
Are you currently working in an operational position in EMS?
 
Yes
 
No
 
 
 
* Level of Qualification
 
 
 
Which sector are you working in?
 
Public
 
Private
 
 
 
* Province
 
 
 
* Operational experience (in years)
 
0 to 5
 
5 to 10
 
10 to 15
 
15 to 20
 
more than 20
 
 
 
Do you perceive yourself as being stressed? (Use any understanding you have of stress)
 
Yes
 
no
 
 
 
Within the last 3 months, have you experienced any of the following? (please select all that apply)
 
Becoming easily agitated, frustrated or argumentative
 
Feeling overwhelmed - Feeling that you have too much to do
 
Feeling like you are losing control or need to take control
 
Having difficulty relaxing and/or quieting you mind
 
Feeling bad about yourself (low self esteem), Lonely, Worthless
 
Emotional outbursts: lashing out, angry outbursts or tearfulness
 
Avoiding others (Friends, Family, Co-workers)
 
Feeling tired most of the time
 
Headaches
 
Increased absenteeism from work
 
Upset stomach, including Diarrhoea, constipation and nausea
 
Aches, Pains, and Tense muscles
 
Chest pains and Rapid Heart beat
 
Sleeping difficulty (struggling to fall asleep or waking up in the middle of the night)
 
Frequently late for work
 
Difficulty concentrating
 
Depressed immune system
 
Loss of sex drive
 
Nervousness and shaking
 
Ringing sounds in the ears
 
Cold or Sweaty hands and feet
 
Dry mouth and difficulty swallowing
 
Clenched Jaw and/or Grinding teeth