Personal Information

Name* Designation I am part of Technical/Produc tion function Total yrs of experience Organisation Name *not mandatory Emp.# * Function/Dept I am part of Operations/Sup port function Yrs of experience in current Org. Office/Work location (city)

Yes/No

Yes/No

Work-Life related
Instruction: Please mark () against the right answer 1. How many days in a week do you normally work? a) Less than 5 days b) 5 days c) 6 days d) 7 days 2. How many hours in a day do you normally work? a) 7-8 hours b) 8-9 hours c) 9-10 hours d) 10-12 hours e) More than 12 hours 3. How many hours a day do you spend travelling to work? a) Less than half an hour b) Nearly one hour c) Nearly two hours d) More than two hours 4. Do you work in shifts? a) General shift/day shift b) Night shift c) Alternative (morning or evening shift) 5. Are you married? a) Yes b) No 6. If yes, is your spouse employed?

a) Yes b) No 7. Do you have children? a) Yes, no. of children____________. b) No 8. Being an employed man/woman who is helping you to take care of your children? a) Spouse b) In-laws c) Parents d) Servants e) Crche/day care center f) Not applicable 9. 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 d) 4-5 hours e) More than 5 hours f) Not applicable 10. Do you regularly meet your child/children teachers to know how your child is progressing? a) Once in a week b) Once in two weeks c) Once in month d) Once in 6 months e) Once in a year f) Not applicable 11. a) b) c) d) e) 12. a) b) c) d) e) 13. Do you take care of? Older people Dependent adults Adults with disabilities Children with disabilities None If yes, how many hours do you spend with them? Less than 2 hours 2-3 hours 3-4 hours 4-5 hours More than 5 hours How do you feel about the amount of time you spend at work?

a) b) c) d) e)

Very unhappy Unhappy Indifferent Happy Very happy

14. Do you ever miss out any quality time with your family or your friends because of pressure of work? a) Never b) Rarely c) Sometimes d) Often e) Always 15 16 17 Do you work late hours at office every day? Do you take your work at home? Do you feel stressed about the amount of time you spend at work? Do you feel stressed as you need to travel more to work? Do you feel stressed when you think about work? Do you take lunch break which does not even last for more than 30 minutes? Do you miss out on quality time with your family and friends because of work pressure? Do you think work is having negative effect on your personal life? 1 Never 1 Never 1 Never 2 Rarely 2 Rarely 2 Rarely 3 Sometim es 3 Sometim es 3 Sometim es 3 Sometim es 3 Sometim es 3 Sometim es 3 Sometim es 4 Often 4 Often 4 Often 5 Alway s 5 Alway s 5 Alway s 5 Alway s 5 Alway s 5 Alway s 5 Alway s

18

1 Never 1 Never 1 Never

2 Rarely 2 Rarely 2 Rarely

4 Often 4 Often 4 Often

19

20

21

1 Never

2 Rarely

4 Often

22

1 Never

2 Rarely

3 Sometim es

4 Often

5 Alway s

23

Do you think that you do not get enough time for yourself? Do you feel upset because of what is happening at work Do you often loose your temper at work? Do you feel tired or depressed because of work?

1 Never 1 Never 1 Never 1 Never

2 Rarely 2 Rarely 2 Rarely 2 Rarely

3 Sometim es 3 Sometim es 3 Sometim es 3 Sometim es

4 Often 4 Often 4 Often 4 Often

5 Alway s 5 Alway s 5 Alway s 5 Alway s

24

25 26

26) How do you manage stress arising from your work? f) Yoga g) Meditation h) Entertainment i) Dance j) Music k) Others, specify_________. 27) Does your company have a separate policy for work-life balance? a) Yes b) No c) Not aware 28) If yes, what are the provisions under the policy? a) Flexible starting time b) Flexible ending time c) Flexible hours in general d) Holidays/ paid time-off e) Job sharing f) Career break/sabbaticals g) Others, specify________ 29) Do you personally feel any of the following will help you to balance your work life? a) Flexible starting hours b) Flexible finishing time c) Flexible hours, in general d) holidays/paid time offs e) Job sharing f) Career break/sabbaticals g) time-off for family engagements/events h) Others, specify_________

30) Does your organization provide you with following additional work provisions? a) Telephone for personal use b) Counselling services for employees c) Health programs d) Parenting or family support programs e) Exercise facilities f) Relocation facilities and choices g) Transportation h) Others, specify______________. 31) Does your organization encourage the involvement of your family members in work- achievement reward functions? a) Yes b) No 32) Does your organization have social functions at times suitable for families? a) Yes b) No 33) Do any of the following hinder you in balancing your work and family commitments? Long working hour Compulsory overtime Work pressure Shift work Meetings/training after office hours Others, specify_________________ 34) Do any of the following help you balance your work and family commitments? a) Working from home b) Technology like laptops/VPN/Internet/cell phones c) Being able to bring Children to work on occasions d) Support from colleagues at work e) Support from family members f) Others, specify___________. 35) Do any of the following hinder you in balancing your work and family commitments? a) Technology like laptops/VPN/Internet/cell phones b) Frequently travelling away from home c) Negative attitude of peers and colleagues at work place d) Negative attitude of supervisors e) Negative attitude of family members f) Others, specify___________

g) All above h) None 35) Do you suffer from any stress-related disease? a) Hypertension b) Obesity c) Diabetes d) Frequent headaches e) None f) Others, specify______. 36) Do you take special initiatives to manage your diet? a) Yes b) No 37) What is your preference for food? a) Carrying home made food b) Dieting on vegetables and fruits c) Choosing less calorific food d) Choosing organic food e) Food from the organizations cafeteria f) Spicy/Junk food g) Others, specify__________. 38) How often will you have refreshment drinks/snacks in a day? a) None b) Once c) Twice d) Thrice e) More than three times 39) Do you spend time for working out? a) Yes b) No 40) If yes, how many hours? a) less than half an hour b) half an hour c) half an hour to one hour d) more than 1 hour 41) Where do you usually prefer to do your workouts? a) In your organizations health centers b) Residence c) Nearby Gym d) Walking e) Others, specify_____________. 41) Do you feel work-life balance policy in the organization should be customized to individual needs?

a) Strongly agree b) Agree c) Indifferent d) Disagree e) Strongly disagree 42) Which of the following will be individual benefits due to enhanced work-life balance? l) More value and balance in your life m) Understanding your best work life balance n) Increased productivity o) Better relationship both on and off the job p) Reduced Stress q) All the above r) None 43) Do you think that if employees have good work-life balance the organization will be more effective and successful? a) Yes b) No 44) If yes, which of the following will be organisations benefits due to good work-life balance of the employees? s) Measured increase in productivity, accountability, commitment t) Better teamwork and communication u) Improved morale v) Less negative organizational stress w) All the above x) None