Environmental Engineering Reference
In-Depth Information
Appendix B
Danish Building Research
Institute Indoor Climate
Survey Questionnaire
Background Factors
Year of birth _____
Occupation_________________
Sex
male ____ female ____
How long have you been at your present place
of work?
Do you smoke?
Yes ____ No ____
_______ years
Work Environment
Have you been bothered during the last three months by any of the following
factors at your work place?
Yes, often
(every week)
Yes,
sometimes
No,
never
Draft
____
____
____
Room temperature too high
____
____
____
Varying room temperature
____
____
____
Room temperature too low
____
____
____
Stuffy “bad” air
____
____
____
Dry air
____
____
____
Unpleasant odor
____
____
____
Static electricity, often causing shocks
____
____
____
Passive smoking
____
____
____
Noise
____
____
____
Light that is dim or causes glare
and/or reflections
____
____
____
Dust and dirt
____
____
____
