Questionnaire on work life balance

I am conducting a study on WORK LIFE BALANCE. As a part of my project I am conducting a survey through this questionnaire on how employees in todays corporate world balance their work and personal life. So I kindly request you to co-operate with me to fill up the questionnaire. I assure you that information gathered will be for academic purpose only. NAME DEPARTMENT : DESIGNATION : WORK EXPERIENCE

Please tick the Most Appropriate Options:1. Male [ ] 2. Age Group Under 30 year 31 to 40 years Over 40 years [ ] [ ] [ ] Female [ ] 3. Martial Status Married Unmarried [ ] [ ]

4.Does your organization provide any work life balance policies or programmers like: Yoga Gym Meditation Stress Management Workshop Part time or reduced work hours Convenient transportation Career break Job sharing Flexi hours Time off for family emergencies & events Daycare Family Engagement Program(Picnic,children activities) Others

5. How many children do you have? None [ ] 1 [ ] 2[ ] 6. How old are your children? Under 2 years [ 2-5 years [ 6-10 years [ 11-14 years [ 15-18 years [ NA [

3[ ]

More than 3 [ ]

] ] ] ] ] ]

7. Factors making Work Life Balance harder. Sr. 1 2 3 4 5 6 7 8 9 10 11 Deadlines and schedules Type of work you do No. of hours you need to work Expectations/attitude of supervisor or mgr How easy/ difficult it is to take leave Amt. of notice you get about the hours/overtime you need to work Having to take additional work home Amount of travel required Times meeting/training are scheduled Starting and finishing time Flexible timings Lot Harder A Little Harder No Difference Doesnt apply to my job

8. During the last one year have you worked on weekends/holidays?[yes/no] If yes, how many days?

9. How many days in a week do you normally work?

Less than 5 days[ ] 5 days[ ] 6 days[ ] 7 days[ ]

10. How many hours in a day do you normally work? 7-8 hours [ ] 8-9 hours[ ] ] 9-10 hours[ ] 10-12 hours[ ]

More than 12 hours [

11. How many hours a day do you spend traveling to work?

Less than half an hour [ More than two hours [ ] ] nearly one hour [ ] nearly two hours [ ]

12. How often do you think or worry about work (when you are not actually at work or traveling to work)? Never think about work[ ] Rarely[ ] Sometimes[ ] Often[ ] Always[ ] 13. How big an impact work has on work life balance? Sr. No 1 2 3 4 5 6 7 Often Rarely Spending time with friends Get home on time Do any study or training you want to do Take care of personal business Keep healthy and fit, play sports other leisure activities Take part in community activities or fulfill religious commitments Take care of family and spend time with them Sometimes Never Dont know

14)

A.IMPACT OF WORK AT HOME Your job makes you feel tired to do the things that needs attention at home Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Your job reduces the effort that you can give to activities at home Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Having a good day on the job makes you a better companion at home Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

The thing you do at home prevent you from getting the amount of sleep you need to do your job well Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Number of hours you sleep on an average B. IMPACT OF HOME AT WORK: Responsibilities at home reduce the efforts you can devote to your work Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Personal or family worries and problems distract you when you are on work Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Stress at home makes you irritable at work Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

Activities and chores at home prevent you from getting the amount of sleep you need to do your job well Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

15. Do you generally feel you are able to balance your work and family life?

If yes then to what extend? Yes [ ] No [ ]

16. Do you believe that your superiors style support your work life balance? Always [ ] frequently [ ] Sometimes[ ] Never[ ] Dont know[ ]

17 Can you openly discuss issues related to your work life with your superior? Always [ ] Rarely[ ] Sometimes[ ] Never[ ] Dont know[ ]

18. Please tick the most appropriate option on statements on work life balance (WLB). Sr. 1 2 3 WLB enables people to work better WLB is entirely individuals responsibility WLB is entirely an employers responsibility Strongly Agree Agree Disagree Strongly Disagree

19. Please tick if you have any of the responsibilities as primary career? a. b. c. d. e. f. Child care Elder care Caring for sick child Caring for disable adult Caring for sick adult Caring for disabled [ [ [ [ [ [ ] ] ] ] ] ]

20. How much time do you spent on the following activities in a working day (24 hrs)? Office Hobbies Household activities Study Care

21. Please tick the following services, which you have used? a. Medical facilities b. Educational allowance c. Holiday pay scheme 22. I am very impatient. Always [ ] Often [ ] Sometimes [ ] Rarely [ ] Never [ ] [ [ [ ] ] ]

23. I find it difficult to create a healthy work and life balance. Always [ ] Often [ ] Sometimes [ ] Rarely [ ] Never [ ]

24. How will you rate your job satisfaction in a scale of 1 to 5? (5 being the highest and 1 lowest) 25. What could this organization do to help you balance your work and family life?

Thank you for spending your precious time in filling up the questionnaire