In order to truly determine where you are in our world of ever-growing chaos you are urged to fill out a brief and enlightening Chaos Level Questionnaire which will allow you to rank where you stand or fall with the inundation of information that bombards us each and every moment.

In participating in the Chaos Over program you will see your sustained improvement over a relatively short period of time.

Each time you review the list you will want to select the grading level of the statement which applies to you at this time.  The ranking is on a scale of one to four, with one being the least and four being the most.  This will let you know how well you are doing.

Please supply us with some information so we can contact you about your results.

Name:

Phone:

Email:

1. What is the level of stress you currently experience during a typical work day?
1 2 3 4

2. To what degree do you experience a lack of creativity during a typical work day?
1 2 3 4

3. At what level do you feel a lack of real control in your work?
1 2 3 4

4. How many hours do you usually work in a week (in and away from the office)? 40 hours or less = 1; 41-50 hours = 2; 51-60 = 3; 61+ = 4
1 2 3 4

5. What is the level of ineffective communication in your company?
1 2 3 4

6. What is the level that you experience forgetting information or forget telling something to someone?
1 2 3 4

7. During a typical day, what is the level you experience making mistakes in your work?
1 2 3 4

8. What is the level of interruptions that you experience during a typical day?
1 2 3 4

9. To what degree do you experience lacking the true ability to concentrate on a project or task as you are working on it?
1 2 3 4

10. What is the level of difficulty you experience in fully responding to and filing all of your e-mail each day?
1 2 3 4

11. What is the level of unnecessary, inactive and archival information that currently exists in your paper file system?
1 2 3 4

12. What is the level of unnecessary, inactive and archival information that currently exists in your electronic file system?
1 2 3 4

13. Rate the level of unnecessary, inactive and archival information that exists in your following areas:
Desktop: 1 2 3 4
Drawers in your desk: 1 2 3 4
Area around your desk: 1 2 3 4
Area under your desk: 1 2 3 4

14. What is the level of difficulty you experience in instantly retrieving information from your own paper file or electronic systems?
1 2 3 4

15. In minutes (less than one minute = 1; one minute to three minutes = 2; more than three minutes and less than five minutes = 3; five minutes or more = 4), what is the length of time that you estimate it takes you to retrieve a specific piece of information from:
your paper-based file system?
1 2 3 4
your computer-based file system?
1 2 3 4

16. What is the amount of unavailable space you have on your physical desktop to work on your projects?
1 2 3 4

17. What is the level of discomfort that you experience in your office setting?
1 2 3 4

18. How much time do you spend putting out fires or correcting mistakes rather than producing new results?
1 2 3 4

19. If there was one improvement you could make in how you work, what would that be?


20. List the types of mistakes you notice most in your work?


21. Describe how you currently prioritize your work?


22. Describe the greatest problems that you experience with
your paper-based and/or computer filing system.