Who knows you better ... ?

Name *

Designation *

E-mail *

Mobile no *

Do you have lack of attentiveness at workplace ?
*

No

1

2

3

4

5

Yes

Do you take frequent coffee/smoke breaks to relieve from brain fogging ?
*

No

1

2

3

4

5

Yes

Have you been having Lower output at work ? *

No

1

2

3

4

5

Yes

Do you experience Mental & Physical Fatigue ? *

No

1

2

3

4

5

Yes

Are you facing Stress in professional & personal life? *

No

1

2

3

4

5

Yes

Do you look forward to Monday or Friday in Life ?

Monday

Friday

Both

Neither

Clear selection

Does going to work sound like fun & ease to you ?

Yes

No

Partly

Clear selection

Suggest (if any)