Chaos Over Questionaire

Chaos Level Questionnaire
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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)?
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