[中州航空] 飞行员身心健康状态调查问卷\nCentral Airlines Pilot Mental and Physical Health Survey

尊敬的飞行员：

您好！为更好地了解您的心理健康状态，并提供更有针对性的健康支持，现诚邀您填写本次问卷，填写时长预计7分钟。本问卷旨在了解您近期的身心状态，以及收集您对公司员工支持项目的意见。请您根据实际情况和真实感受作答，题目没有对错之分。

您填写的全部内容将严格保密，仅限经授权的心理健康专业人员用于分析评估，不会向其他无关人员披露，结果不作为飞行资质评定依据。问卷提交后即可查看您的分数报告及建议。测评结果主要用于健康管理和自我了解参考，不能替代专业诊断。

感谢您的信任与参与！


Dear Pilot,

Hello! To better understand your psychological health and provide more targeted health support, we sincerely invite you to complete this questionnaire, which should take about 7 minutes. This survey aims to understand your recent physical and mental state, as well as to gather your feedback on the company's Employee Assistance Program. Please answer based on your actual circumstances and genuine feelings — there are no right or wrong answers.

All information you provide will be kept strictly confidential and will only be used for analysis by authorized mental health professionals; it will not be disclosed to any unrelated parties. The results will not be used as a basis for flight fitness determinations. Once you submit the questionnaire, you will be able to view your score report and recommendations. The assessment results are intended for health management and self-awareness purposes only, and are not a substitute for professional diagnosis.

Thank you for your trust and participation!

您的姓名 Your Name:
您的年龄段：

请根据您过去两周内的实际情况作答，如实反映您的感受。答案没有对错之分。

Please answer based on how you have actually been feeling over the past two weeks. Please answer honestly. There are no right or wrong answers.

在过去两个星期，你有多常被以下问题困扰？

1、做任何事都觉得沉闷或不想做任何事 

Little interest or pleasure in doing things 

2、感到情绪低落、心情不好或对未来感到失望

Feeling down, depressed, or hopeless 

3、难以入睡，半夜会醒；或相反地，睡觉时间过多

Trouble falling or staying asleep, or sleeping too much 

4、觉得疲倦或活力不足

Feeling tired or having little energy

5、胃口极差或进食过量

Poor appetite or overeating 

6、对自己感到不满意，觉得自己做得不够好，或觉得自己让自己或家人失望

Feeling bad about yourself — or that you are a failure or have let yourself or your family down

7、难以集中精神做事，例如看报纸或看电视

Trouble concentrating on things, such as reading the newspaper or watching television

8、他人是否注意到您说话或行动比平时缓慢？或者相反，是否比平时更加坐立不安、活动增多？

Moving or speaking so slowly that other people could have noticed?

Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual 

9、是否曾出现过觉得自己不如不存在，或想要伤害自己的念头？

Thoughts that you would be better off dead or of hurting yourself in some way

如果你选了以上任何问题，这些问题在你的工作、处理家中事务或与人相处时造成多大困难?

EAP需求与服务可及性调查

EAP Needs and Service Accessibility Survey

EAP（员工帮助计划）和 Pilot Support Program（飞行员支持项目）为飞行员提供专业、保密的身心健康支持服务，以帮助来访应对工作压力、人际关系及生活中的困扰，并在需要时提供心理访谈及公司相关部门的支持。目前，该服务由航卫室及737、777机队接受过心理支持培训的航医和机长共同开展。


本部分主要为了收集您近期心理支持需求、EAP使用意愿以及偏好的支持方式，以便我们进一步完善服务内容和及时提供支持。请根据您的实际情况和想法作答，答案没有对错之分。您提供的信息将严格保密，仅用于EAP服务的评估与改进。


EAP (Employee Assistance Program) and the Pilot Support Program provide pilots with professional and confidential support for work stress, interpersonal difficulties, and personal concerns. When needed, psychological support and assistance from relevant company departments are also available. The services are jointly provided by the Aviation Medical Office and trained aviation medical doctors and captains from the 737 and 777 fleets.


This section aims to understand your recent need for psychological support, willingness to use EAP services, and preferred forms of support, so we can improve our services and provide timely assistance. Please answer based on your actual situation. There are no right or wrong answers. All information will be kept strictly confidential and used only to evaluate and improve EAP services.

1. 您是否了解公司提供的EAP（员工帮助计划）和PSP（飞行员同伴支持）服务？

Are you aware of the EAP (Employee Assistance Program) and PSP (Pilot Peer Support) services provided by the company?

2. 如果近期遇到工作、生活或情绪方面的压力，您是否愿意尝试使用公司的EAP服务？

【EAP服务遵循保密原则，除涉及法律法规规定的特殊情况外，个人咨询内容不会向公司管理人员或其他无关人员透露】

If you are experiencing stress related to work, personal life, or your emotions, would you consider using the company’s EAP services?

EAP services are confidential. Unless disclosure is required by law or regulations, information shared during consultations will not be disclosed to company management or other unauthorized individuals.

3. 您近期是否希望获得EAP心理支持？

【如您选择“是”，心理支持人员将在一周内与您联系，并与您协商合适的首次访谈时间】

Would you like to receive EAP support at this time?

If you select “Yes,” a member of the support team will contact you within one week to arrange a convenient time for an initial session.

4. 如果您希望获得EAP支持，您目前更希望获得哪些方面的帮助？

If you would like EAP support, what areas would you like help with?

5、如果您目前不愿意使用EAP服务，主要原因是什么？
If you are not currently willing to use EAP services, what are the main reasons?

6. 您更倾向于通过哪种方式获得EAP支持？

How would you prefer to receive EAP support?

您对航卫室身心健康支持项目有何意见？
What are your thoughts or suggestions regarding the Aviation Medical Office’s mental and physical health support program?
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