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7/31/2019 questionaire jpj baru

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Respondent No.

TITLE: ERGONOMIC DESIGN FOR SITTING OPERATOR

Please tick (/) your answer in the provided box.

SECTION A : PERSONAL DETAILS

1) Gender : Male Female

2) Age : Years

3) Weight : kg

4) Height : cm

5) Educational

Qualification : _______________________

6)Job Title : _______________________

SECTION B : WORK EXPERIENCE

7) How many hours you work per day? Hours

8) How many days you work per week? Day(s)

9) How many shifts do you have per day? Shifts

10) How many breaks do you have per day?

We are the students of Ergonomic Design UiTM Shah Alam. We are conducting a research on

the Ergonomic Design for Sitting Operator and want to observe on the sitting postures of theoperator. Your responses and identity will be kept confidential and will be used for the purpose

of this research only. Thank you for your time answering this questionnaire.


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11) How long is each of your breaks on average? _________________

12) Have you ever work in other sector? Yes No

13) How many years and months have you been

doing your present type of work at this

department?

Years Months

Weeks (If less than a month)

SECTION C : WORK CONDITIONS

Strongly

Disagree

Disagree Neutral Agree Strongly

Agree

14) Working place spacious enough for me

15) Ventilation of my working place is good

16) Sufficient lighting in my working place

17) Sitting comfortably during working

18) I am satisfied with my working layout


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19) Do you feel uncomfortable after you work? Yes No

20) Do you feel pain at your body after work? Yes No

(If YES proceed to Question 21, If NO proceed to question 30)

21) Where do you feel discomfort after work? (Please answer by ticking [/] in the first box and

state your level of pain according to the reference below in the second box and also

continue answering the following question regarding the selected discomfort area).

No Pain Mild Moderate Severe Very Severe

1 2 3 4 5

SECTION D : MUSCULOSKELETAL DISORDERS


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22) Have you ever hurt in an accident involve of: (If NO proceed to Question 23)

Yes No Yes No

Neck Wrist / Hand

Shoulder Hip / Thigh

Elbow Knee

Low back Ankle / Feet

23) Have you ever hurt because of job duty in :

Yes No Yes No

Neck Wrist / HandShoulder Hip / Thigh

Elbow Knee


24) Do you have any critical medical problem of :

Yes No Yes No

Neck Wrist / Hand


Elbow Knee


25) During the last 3 days have you have pain in :

Yes No Yes No

Neck Wrist / Hand


Elbow Knee



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26) How often do you have: Daily Once/ Twice aweek

Once / Twice a

month

Other (please

state)

Neck pain

Shoulder pain

Elbow pain

Low back pain

Wrist / Hand pain

Hip / Thigh pain

Knee pain

Ankle / Feet pain

27) Does the pain cause you to reduce your activity?

Yes No Yes No

Neck Wrist / Hand


Elbow Knee


28) Have you ever absent from work because of pain in:

Yes No Yes No

Neck Wrist / Hand


Elbow Knee



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29) Have you seen a doctor, physiotherapist or other expertise to checkup in:

Yes No Yes No

Neck Wrist / Hand


Elbow Knee


30) Kindly give additional suggestions or recommendations with regards to this study_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

______________________________________________________________________

~ Thank You ~

SECTION E : ADDITIONAL INFORMATION

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