Fiona Stanley Fremantle Hospitals Group - BIMS Sickness Impact Profile

If you answered yes, check only those statements that you are sure describe you today...

I am doing part of my job at home I am not accomplishing as much as usual at work I often act irritable towards my work associates, for example, snap at them, give sharp answers, criticize them I am working shorter hours I am doing only light work I work only for short periods of time or take frequent rests I am working at my usual job but with some changes, for example, using different tools or special aids, trading some tasks with other workers I do not do my job as carefully and accurately as usual How many days from burn injury did it take for you to return to part time work? How many days from burn injury did it take for you to return to full time work? How many days per week did you work before your burn injury?

BIMS Sickness Impact Profile

All questions must be answered before the survey can be submitted. Your survey will be saved automatically when you have finished.

SIP These questions relate to your paid employment

If you answered yes, check only those statements that you are sure describe you today...