Thank you for taking a few minutes to answer these questions about your current role.  The answers are anonymous, but we would like to ask the same questions again in a few weeks. So we can link your two replies, please state the following to make your unique code

The day of your birthday (eg 6 December = 06,  31 January =31)

The last letter of your name (eg David =D)

The first letter of your mother’s name (eg Jean =J)

So your code would look something like this: 06DJ

MY UNIQUE CODE  _____________

Please read the following statements and state how closely you agree where

1= never and 5= everyday


In my job I feel I can make a difference to patient care       1    2     3     4     5

I know when I’ve done a good job at work   1 2 3 4 5

I am able to have a say in the way my job is done 1 2 3 4 5

I experience joy at work 1 2 3 4 5

I am frustrated at work 1 2 3 4 5