Sl No:

Questions

Yes

No

1:

I get an uninterrupted Sleep on most days last fortnight ?

2:

Do I get up fresh in morning ?

3:

Do I feel irritated at any of the subordinates, colleagues, superiors, spouse or children ?
If Yes, Do I...
» Shout at them
» Handle my irritation by self relaxation & no expression
» Express by Humour successfully

4:

Did I feel jealous about any one in last fortnight ?

5:

Did I help someone who needed & asked for it ?

6:

Do I park my car in a shabby manner or in non parking area ?

7:

Do I feel bodily tired after usual day’s work ?

8:

Did I ask / offer / agree for bribe during last 3 months ?

9:

Do I get sufficient time for family / recreation / hobby ?

10:

Do I feel bodily tired after usual day’s work ?

11:

Did I miss more than 2 work days / month due to health reasons ?