Chaos Over Questionaire

Chaos Level Questionnaire
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What is the level of stress you currently experience during a typical work day?*

1

2

3

4

1 is Least, 4 is Most
To what degree do you experience a lack of creativity during a typical work day?*

1

2

3

4

1 is Least, 4 is Most
At what level do you feel a lack of real control in your work?*

1

2

3

4

1 is Least, 4 is Most
How many hours do you usually work in a week (in and away from the office)?*

40 Hours or lessup to 50 hoursup to 60 hoursOver 60 hours
What is the level of ineffective communication in your company?*

1

2

3

4

1 is Least, 4 is Most
What is the level that you experience forgetting information or forget telling something to someone?*

1

2

3

4

1 is Least, 4 is Most
During a typical day, what is the level you experience making mistakes in your work?*

1

2

3

4

1 is Least, 4 is Most
What is the level of interruptions that you experience during a typical day?*

1

2

3

4

1 is Least, 4 is Most
To what degree do you experience lacking the true ability to concentrate on a project or task as you are working on it?*

1

2

3

4

1 is Least, 4 is Most
What is the level of difficulty you experience in fully responding to and filing all of your e-mail each day?*

1

2

3

4

1 is Least, 4 is Most
What is the level of unnecessary, inactive and archival information that currently exists in your paper file system?*

1

2

3

4

1 is Least, 4 is Most
What is the level of unnecessary, inactive and archival information that currently exists in your electronic file system?*

1

2

3

4

1 is Least, 4 is Most
Rate the level of unnecessary, inactive and archival information that exists in your desktop:*

1

2

3

4

1 is Least, 4 is Most
Rate the level of unnecessary, inactive and archival information that exists in your desk drawers:*

1

2

3

4

1 is Least, 4 is Most
Rate the level of unnecessary, inactive and archival information that exists in the area around your desk:*

1

2

3

4

1 is Least, 4 is Most
Rate the level of unnecessary, inactive and archival information that exists under your desk:*

1

2

3

4

1 is Least, 4 is Most
What is the level of difficulty you experience in instantly retrieving information from your own paper file or electronic systems?*

1

2

3

4

1 is Least, 4 is Most
Estimate how long it takes you to retrieve a specific piece of information from your paper-based file system?*

1

2

3

4

1 is Least, 4 is Most
Estimate how long it takes you to retrieve a specific piece of information from your computer-based file system?*

1

2

3

4

1 is Least, 4 is Most
What is the amount of unavailable space you have on your physical desktop to work on your projects?*

1

2

3

4

1 is Least, 4 is Most
Calculation
What is the level of discomfort that you experience in your office setting?*

1

2

3

4

1 is Least, 4 is Most
How much time do you spend putting out fires or correcting mistakes rather than producing new results?*

1

2

3

4

1 is Least, 4 is Most
If there was one improvement you could make in how you work, what would that be?*
List the types of mistakes you notice most in your work?*
Describe how you currently prioritize your work?*
Describe the greatest problems that you experience with your paper-based and/or computer filing system.*
Please verify that you are human*
Should be Empty:

Chaos Level Questionnaire