22. TSA_PAVEMENTS_2008
John Miller conducted a Health Management program for The Group in March 2009.
19 people completed the following profiles: -
■ Health, Fitness and Wellbeing
■ Musculo-skeletal risk
■ Career satisfaction
The results are presented in graphic format, with commentary.
Click here to read what the assessments are all about
HEALTH, FITNESS AND WELLBEING PROFILE
The Health, Fitness and Wellbeing profile provides people with a very good idea of how well the various systems of the body are functioning, particularly the
the mind
autonomic nervous system
immune system
digestive system
circulatory system
elimination system
musculo-skeletal system.
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Symptom |
None |
Not much |
A fair bit |
A lot |
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1. |
Headaches including migraines |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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2. |
Lack of energy and vitality |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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3. |
Candida - jock itch, thrush, tinea ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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4. |
Poor sleep. If on tablets score 10 |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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5. |
Snoring &/or sleep apnoea. Score 10 if using a mask |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6. |
Crook back, stiff neck, sore shoulders, dicky knee RSI ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7. |
Frequent colds, flu, sinus |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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8. |
Unsettled stomach, reflux (Score 10 if on medication) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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9. |
Overweight - 1 point for every 2Kg |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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10. |
Irritable bowel, constipation |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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11. |
Asthma |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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12. |
Low level of aerobic fitness |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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13. |
Chest pain, palpitations |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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14. |
Rashes, itchiness, skin outbreaks, psoriasis ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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15. |
Mouth ulcers, cold sores |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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16. |
Elevated blood pressure. Score 0 on pills |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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17. |
Elevated blood cholesterol. Score o if on pills |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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18. |
Elevated blood glucose. Score 0 if on medication |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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19. |
Shakes, nervous ticks, mannerisms |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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20. |
Grinding teeth |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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21. |
Alcoholic drinks per day (2 pts/drink) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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22. |
Smoking. (1 pt/cigarette/day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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23. |
Caffeine (1 pt/cup per day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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24. |
Anxious about life, insecure, apprehensive |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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25. |
Sad or depressed (On medication, score 0) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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26. |
In wrong job for now |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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27. |
Under-appreciated at work |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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28. |
Have poor work/life balance |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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29. |
Unhappy with family life |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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30. |
Unhappy with financial status |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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Score |
The score of a normal, fit and healthy human being is less than 20
Higher scores are symptomatic of dysfunction of one or more body systems.
People with high levels of stress usually score well over 100.
For people with a score of more than 80, the background noise of their life is becoming louder and louder. It is hard to concentrate on your work when body systems are dysfunctional.
We know a fit and healthy group when we see the majority of scores below 40. This was not the case with this group. By and large higher scores are usually a reflection of
low levels of fitness
an inability to deal with what life and work are serving up to people.
Remember, it is not what happens, but how we deal with what happens that determines our level of stress.
Classification of average scores: Excellent - less than 40. Good - 41 - 50. Fair 51-60. Poor - over 60.
This profile is described as fair. The average score was 62, skewed somewhat by the two scores over 100. Anyone scoring more than 80 is putting up with a lot of 'background noise'.
What surprised us about this score is the higher than normal number of people scoring less than 20 on the profile. In that respect it's a good result.
HEALTH CLIMATE SURVEY
Based on scores received in the Health, Fitness and Wellbeing profile we've compiled a Health Climate Survey. Scores on each item have ranked - the higher the score the worse the problem. We added the scores for each item. The results appear in the table below.
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Symptoms/ issues / concerns |
% of people scoring over 5 |
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Overweight |
58 | 1 | |
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Low level of fitness |
42 | ||
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Crook back, sore shoulders |
37 | ||
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Lack of Energy |
32 | ||
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Elevated cholesterol |
32 | 1 | |
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Anxious |
21 | ||
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Wrong job |
21 | ||
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Financial status |
21 | ||
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Poor sleep |
16 | ||
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Snoring, sleep apnoea |
16 | ||
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Reflux, unsettled stomach |
16 | ||
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Irritable bowel, constipation etc |
16 | ||
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Elevated blood pressure |
16 | 2 | |
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Caffeine |
16 | ||
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Under appreciated at work |
16 | ||
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Work-life balance |
16 | ||
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Mouth ulcers |
11 | ||
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Grinding teeth |
11 | ||
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Unhappy family life |
11 | ||
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Headaches |
5 | ||
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Candida |
5 | ||
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Frequent colds, flu, sinus |
5 | ||
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Shortness of breath from asthma |
5 | ||
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Chest pain, palpitations |
5 | ||
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Itchy, rashes, psoriasis |
5 | ||
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Elevated glucose |
5 | ||
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Alcohol |
5 | ||
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Smoking |
5 | ||
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Depressed |
5 | 1 | |
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Shakes, nervous mannerisms |
0 |
We registered those scores of 5 and over as being a symptom, issue or concern, the most pressing of which have been highlighted.
Perception
Based on people's perception (where they gave a particular symptom a score of 5 or more, and backed up by objective scores) the key issues are
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1 person indicated they had a higher than normal alcohol intake. |
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1 person smoked. This is well below the national average. It's a habit that's killing people and we recommend the company move heaven and earth to assist people to quit. Plus it's costing the smokers a fortune in money that many don't have. |
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Obesity 58% of people said they were more than 10Kg over weight. 1 person was 20Kg overweight. |
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Snoring 3 people said they snored loudly enough for it to be a problem.
The recipe for a good snore is to be male, be unfit and at least 20Kg over weight, to have high blood pressure, have a few drinks every night, be stressed out of their brain and sleep on their back. |
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Lack of energy 32% of people said they lacked energy.
Low levels of energy come from many sources, including: - - lack of a good aerobic fitness training program - a diet high in wheat flour and sugar - dullness - ... |
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Fitness 42% said they were unfit.
Fitness has a significant bearing on the scores for low levels of energy, poor sleep, snoring, depression and headaches. |
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Musculo-skeletal dysfunction 37% of people said they had some sort of musculo-skeletal dysfunction. Several of the staff had quite serious issues that needed immediate attention.
Musculo-skeletal dysfunction goes with low levels of strength and flexibility. Those at greatest risk need encouragement to attend a strength and flexibility training program several times a week. |
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Rashes and itchiness Can be caused by a range of things: - - a body that's stressed producing too much cortisol - a toxic diet - a sluggish elimination system - itching to get away from something - ... |
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Headaches Only 1 person said they regularly get headaches. Headaches are caused by - a diet high in wheat flour and sugar - caffeine withdrawal - lack of oxygen getting to the head - a sluggish elimination system - a head out of alignment due to tight and weak muscles - beating your head against a brick wall - ... |
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Colds and flu Symptom of a depressed immune system, one which can be strengthened by eating from the top of the Hourglass and getting plenty of aerobic exercise. |
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Under-appreciation at work 3 people said they were under-appreciated at work.
This is a very low score. |
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Being in the wrong job 4 people said they were in the wrong job.
There is usually a high and positive correlation between people being in the wrong job and people saying they are under-appreciated at work. |
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Diet A diet high in flour and sugar and low in fruit, vegetables and fibre leads to irritable and bowel, reflux. |
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Depression and anxiety There is an epidemic of depression in our community and we encourage all organisations to target depression. 1 person gave themselves a score of 5 or more on the depression question, indicating risk that needs to be dealt with.
Nobody was on anti-depressant medication.
There is a significant core of depression that relates to poor health generally.
All body systems are connected. The epidemic of depression will continue to escalate at the same rate as the epidemic of all other body system dysfunctions. People need to be given encouragement to exercise regularly and vigorous, eat less flour and sugar and imbibe less of the culturally chemicals - particularly nicotine, caffeine and alcohol.
Because of the relationship of depression to fitness and diet there is a chance that some people have been misdiagnosed.
Some aspects of depression relate to psychologically generated issues. It is important that these people be encouraged to have regular counselling - through the EAP or other counsellors -
The best book about depression I've read, and what you can do about it, and one that I recommend highly is by psychiatrist, David Servan-Schreiber, Healing Without Freud or Prozac. |
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Blood pressure 3 people indicated their blood pressure was elevated. 1 person was on blood pressure medication.
Blood pressure is a symptom of body system dysfunction relating directly to
- lack of aerobic fitness - being over weight - being stressed. |
MUSCULO-SKELETAL RISK FACTOR
Our musculo-skeletal risk factor profile looked at a range of parameters including mobility, strength and flexibility and whether people are training to keep themselves strong and flexible.
The musculo-skeletal risk factor profile is comprised of a mix of 7 objective and 3 subjective assessments.
Current musculo-skeletal condition
Abdominal strength test
Upper body strength test
Flexibility
Functional mobility the ability to sit down and stand up with ease.
Shoulder function
Dominant hand grip
Non-dominant hand grip
Flexibility training behaviour
Strength training behaviour
A score of 70% is attainable by those who have a regular and systematic training program.
Those scoring less than 70 are not doing sufficient in the way of strength and flexibility exercises. They are therefore exposing themselves to a high risk of musculo-skeletal dysfunction. (It would be bizarre for a workplace to offer to pay the rehabilitation costs of people who were not keeping themselves strong enough or flexible enough to do their job without succumbing to musculo-skeletal dysfunction, wouldn't it?)
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A patchy result. 50% of the participants are experiencing some pain and discomfort. Those scoring less the 6 need to be required attend a prehab/rehab program, for their own benefit and that of the organisation. |
As a group this is a fair result. Being overweight greatly compromises mobility. |
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Generally speaking a good result. Only 2 people performed poorly. |
This is a mediocre result. 50% of people failed the test. 5 people couldn't do one sit up. This means that the strength of the muscles on the front of their body is not sufficient to keep their pelvis and spinal column in good alignment. |
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This is a poor result. 60% of people failed the test. Only 1 person couldn't do one press up. They are leaving themselves open to upper back, shoulder and arm dysfunction.
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This is a poor result. 8 people couldn't touch their toes at all. 2 people could only just touch their toes. Too many people have tight muscles along the back side of their body - calves, hamstrings, buttock and back. It's caused by two things - sitting down and not having a flexibility program. There is a high risk of lower back and neck dysfunction. |
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A fair result. 2 people are having difficulty getting down on the floor and back up again. Being overweight and having a game leg, bung hip and a crook back dramatically reduces mobility. |
A fair result. 6 had moderately dysfunctional shoulders, 1 had severe dysfunction. |
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Its always the case, few people have a regular strength and flexibility program. The organisation needs to put in train a regular and systematic training program, on site, that includes
1. specialist prehab and rehab sessions for those at serious risk and those already dysfunctional.
2. daily 10 minute strength and flexibility sessions for all staff. |
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Average score: 52. Not good. These people are not in particularly good shape. The risk of musculo-skeletal dysfunction is high due to low levels of strength and flexibility. There is a strong case for the organisation to implement an obligatory strength and flexibility program for those who scored less than 60 in this profile. |
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Lack of strength and flexibility is something that the Organisation needs to take seriously and monitor carefully and put in place an organisation-wide strategy to improve musculo-skeletal function. By far and away a high proportion of people do not have a strength and flexibility program. As a result they are getting weaker and tighter by the week, thereby exposing themselves and the organisation to risk.
When push comes to shove and people become dysfunctional, it will be The Organisation that ends up paying the high cost of an avoidable musculo-skeletal complaint. Click here to read the article from injury to dysfunction. Click here to read about swifties and fallacies.
In our opinion musculo-skeletal dysfunction caused by the lack of a regular and systematic strength and flexibility program cannot be classified as an injury. Responsibility for musculo-skeletal dysfunction needs to be sheeted home to individual employees, though its unlikely to happen without the establishment of a culture within the organisation that supports, values and understands strength and flexibility.
We recommend a range of strength and flexibility classes that are readily available Australia-wide: -
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Posture and Flexibility |
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Yoga |
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Crookback Clinic |
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Tai Chi |
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Pontius Pilates |
The Organisation would place itself in the forefront of OH&S practice if it took the musculo-skeletal risk seriously and moved heaven and earth to educate all staff about this risk and encourage them to take part in a regular strength and flexibility program. Maybe The Organisation and its worker's compensation insurer could invest in a pilot program to increase staff strength and flexibility!
The lack of strength and flexibility training coupled with poor abdominal strength, upper body strength, flexibility and shoulder function is a cause for concern and needs the attention of individual staff and managers.
Recommendation
We strongly recommend that the people who are in current poor musculo-skeletal condition, and who lack abdominal strength, upper body strength, flexibility, shoulder function and functional mobility, in particular those who scored less than 60 on the profile, be obligated to attend regular, in-house strength and flexibility classes.
The pressure on the organisation's workers' compensation costs is such that to do otherwise would, in our opinion be to abrogate a responsibility for the prudent management of the organisation's finances.
CAREER SATISFACTION PROFILE
The parameters in the profile relate to a mix of factors influences by the participant, management and their colleagues.
How close are you to doing the job youd really like to be doing?
Are you in the right job for now?
Is work giving you life or sucking life out of you?
Are you focused on your career options?
Do you get good feedback from your manager?
Do you receive an appropriate financial reward?
Do you feel you and your work are valued and appreciated?
Do you work for an organisation that cares about people?
Do you enjoy the company of the people you work with?
Whats the level of morale like in your work group?
Normally, when results on the overall career profile are less than 70/100, people agree that theyre not in the right job. Certainly those scoring less than 60 have sufficient issues relating to career management as to seriously consider going somewhere else.
SCORING GUIDELINES
Excellent, scoring 8 or more
Good, scoring 7 or more
Fair, scoring 5 or 6
Poor, scoring less than 5
Pass mark on all parameters 7/10.
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With 2 exceptions this is a good score - 1 person didn't know what they wanted to do when they grew up! My encouragement to people who scored less than 6 is to move heaven and earth to work out what it is they really want to do - and develop a plan to get there as soon as they can. |
This is a very good result. |
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With 2 exceptions this a very good result, Work is probably about as stressful as you want it to be. Walk away. Make appointments for your Self that allow you to get on with your work unhindered by interruptions. |
With 2 exceptions a good result. For those who scored 7/10 it didn't matter. They are doing what they want to do. |
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With a few exceptions this is a good result. But there is definitely work to be done to get all scores about 70. |
With a couple exceptions, these people are very satisfied with what they sell themselves for. If you're not happy, you're selling yourself short. Log onto Seek and get your suit dry cleaned! |
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This is a good result. With only a couple of exceptions, work is valued and appreciated. |
With 2 exceptions, this is a very good result. The aim is to have all staff recording a score of 7 or more. |
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This is a very good result. |
With 2 exceptions this is a high morale score. It's generally the case that our morale is good when my morale is good. The exceptions need to be dealt with. |
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Average score: 72. Compared with other groups, this is a good result. 2 people scoring in the 40's brought the results down. For people who score less than 70, there is the whiff of a suggestion they're not in the right job. The situation is certainly redeemable. For people scoring less than 60 the smell is becoming distinctly stronger and below 50 it is very strong. Being in the wrong job sucks all vitality out of you.
For those who are in the wrong job there are several options; change your manager, change yourself or change your job. |
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The Buddha and Confucius both said 'Find the job you'd love to do and you don't have to do another days work in your life.'
RECOMMENDATIONS
See the generic list of recommendations that cover all our profiles.