
..1. | 
How many times are you interrupted, by colleagues, for work-related reasons, per work day, on average? (This includes any method of interruption: telephone, IM, stopping by the office, etc) | 
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None
1-10
11-20
21-30
31-45
46+
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..2. | 
How long, on average, do each of these interruptions last? | 
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 | 
| 
1-3 min
4-9 min
10-15 min
16-29 min
30+ min
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..3. | 
How many times are you interrupted, by colleagues or friends, for NON-work-related reasons, per work day, on average? (This includes any method of interruption: telephone, IM, stopping by the office, etc) | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

..4. | 
How long, on average, do each of these interruptions last? | 
|
 | 
| 
less than 1 min
1-3 min
4-9 min
10-15 min
16-29 min
30+ min
| 
|

..5. | 
How much do you find interruptions interfere with your flow of thought, with the rhythm of your work? | 
|
 | 
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Very little
A little
Somewhat
A lot
A whole lot
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..6. | 
After an interruption, how long does it take you to get back into the rhythm of your work? | 
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 | 
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no time at all
1-3 min
4-9 min
10-15 min
16-29 min
30+ min
| 
|

..7. | 
How many times do you interrupt other people per day, for work-related reasons? | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

..8. | 
How many times do you interrupt other people per day, for NON-work-related reasons? | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

..9. | 
How many interruptions, work or personal related, do you think are tolerable per day, ideally? | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

| 
Of all the interruptions you receive per day, how many come through which of the following means: | 
|

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| 
| 
|

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10. | 
Telephone | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

| 
11. | 
Instant Messaging | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

| 
12. | 
Stopping by the office | 
|
 | 
| 
None
1-10
11-20
21-30
31-45
46+
| 
|

| 
Which method interrupts you the most? (1 is most, 3 is least) | 
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| 
| 
|

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13. | 
Telephone | 
|
 | 
| 
1
2
3
| 
|

| 
14. | 
Instant Messaging | 
|
 | 
| 
1
2
3
| 
|

| 
15. | 
People stopping by the office | 
|
 | 
| 
1
2
3
| 
|

..16. | 
Do you feel that the number of interruptions you receive daily, on average, interferes with your productivity? | 
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 | 
| 
Yes
No
| 
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Do you think it is okay to be interrupted or not for any of the following reasons: | 
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| 
|

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17. | 
Your boss/manager needs something urgent that must be done immediately | 
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 | 
| 
Yes
No
| 
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18. | 
A colleague (same level) has a question | 
|
 | 
| 
Yes
No
| 
|

| 
19. | 
A subordinate has a question | 
|
 | 
| 
Yes
No
| 
|

| 
20. | 
A friend (for non-business reasons) has a question | 
|
 | 
| 
Yes
No
| 
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..21. | 
What do you do to combat interruptions? | 
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| 
Close door
Don't answer the phone (forward to voicemail)
Use "Do not disturb" feature on IM
Snarl at interrupter
Other (please specify)
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..22. | 
How effective are these? | 
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Very
A bit
Somewhat
Not very
Not at all
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..23. | 
Do you see these interruptions as | 
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| 
Generally harmful
Generally helpful
Mixed
Neither/Neutral
| 
|

| 
How do you prefer people to interrupt you? (please rank in order of preference, where 1 is most preferable, 5 is least preferable) | 
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| 
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24. | 
Telephone | 
|
 | 
| 
1
2
3
4
5
| 
|

| 
25. | 
Instant Messaging | 
|
 | 
| 
1
2
3
4
5
| 
|

| 
26. | 
Stop by office | 
|
 | 
| 
1
2
3
4
5
| 
|

| 
27. | 
None | 
|
 | 
| 
1
2
3
4
5
| 
|

| 
28. | 
E-mail | 
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 | 
| 
1
2
3
4
5
| 
|

..29. | 
How interruptive is e-mail to your workflow? (1 is most, 5 is least) | 
|
 | 
| 
1
2
3
4
5
| 
|

..30. | 
How disruptive is spam to your workflow? (1 is most, 5 is least) | 
|
 | 
| 
1
2
3
4
5
| 
|

..31. | 
What portion of all e-mail you receive is spam? | 
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0-20%
21-40%
41-60%
61-80%
81-100%
| 
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..32. | 
How many e-mails do you receive per business day on average? | 
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 | 
| 
0-15
16-30
31-50
51-75
76+
| 
|

..33. | 
When you receive a new mail notification, when do you read the new message? | 
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| 
immediately
shortly thereafter
when a few messages arrive
when convenient
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