Questionnaire
WORK LIFE BALANCE
Q 1. What is your age?
a) Below 30
b) Between 30-40
c) Above 40
Q 2. Gender
a) Male
b) Female
Q 3 Your Designation
Q 4. Do you spend more hours than you would like at work?
a) Yes
b) No
Q 5. How many hours do you work at home in an average week?
a) 1-4 hours
b) 5-9 hours
c) More than 10 hours
Q 6 How many hours a day do you spend traveling to work?
a) Less than half an hour
b) Nearly one hour
c) Nearly two hours
Q 7. Do you spend time for working out?
a) Yes
b) No
Q 8. Do you work in job shifts?
a) General shift
b) Night shift
c) Alternative
Q 9 Marital status?
a) Married
b) Unmarried
If you are married, Is your partner employed?
a) Yes
b) No
Q 10 Do you have children?
a) Yes
b) No
Q 11 Being employed man/women who are helping to take care of your children?
a) Spouse
b) In laws
c) Parents
d) Servants
e) Day care centers
Q 12 How many hours in a day do you spend with your child/children?
a) Less than 2 hours
b) 2-3 hours
c) 3-4 hours
Q 13 Do you ever miss out quality time with your family or your friends because of work?
a) Never
b) Rarely
c) Sometimes
d) Always
Q 14 Do you generally feel that you are able to balance your work & personal life?
a) Yes
b) No
Q 15. Do you feel tired or depressed because of work?
a) Never
b) Rarely
c) Sometimes
d) Always
Q 16 How do you manage stress arising from your work?
a) Yoga
b) Meditation
c) Dance
d) Music
Q 17. Do any of the following hinder you in balancing your work & family commitments?
a) Long working hours
b) Compulsory overtime
c) Shift work
Q 18 Does your organisation provide you with yearly master health check up?
a) Yes b) No
Q 19 Do you suffer from any stress-related disease?
a) Hypertension
b) Diabetes
c) Frequent headache
Q 20 Does your company have a separate policy of work life balance?
a) Yes
b) No
c) Not aware
Q 21 If yes, what are the provisions under the policy?
a) Flexible start time
b) Flexible ending time
c) Holiday
d) Job sharing
e) Career break
f) Flexible hours in general
Q 22. Do you feel work life balance policy in the organisation should be customized to
individual needs?
a) Strongly agree
b) Agree
c) Indifference
d) Disagree
e) Strongly disagree
Q 23 Are you satisfied with your work life?
a) Yes
b) No
Q 24 Are you living your ideal life?
a) Yes
b) No
Give reason_____________________
Q 25
a) Yes
b) No
Give reason______________