Work Life Balance

Questionnaire

The objective of this survey is to understand how Work Life Balance affects the employee in
service sector. This questionnaire is part of a research study for the purpose of MBA PROJECT.
Work life balance is understood as your levels of satisfaction with your work-life, family-life,
personal-life, social-life and organization roll in employee life.

First Part: Demographics

Please circle or use tick (√) to mark your response or write your answer in the space provided.
S.No. Questions
1. Name:
2. E-mail 3. Mobile/Phone
4. Organization 5. City
6. Designation:
7. Gender 8. Age
a. Male a. Under 20
b. Female b. 21 to 30
9. Level of education? c. 30 to 40
a. Primary school d. 40 to 50
b. SSC/Metric e. Over 50
c. HSSC/Intermediate 10. Total job experience in years
d. Bachelor 11. Job experience in current
organization? (in years)
e. Master 12. Marital Status:
f. Other: a. Yes (Married)
13. If yes (married), is your partner b. No (Single)
employed?
a. Yes 14. How many children do you
have?
b. No 15. How many children do you have
in each of the following age
group?
16. Number of extended family a. 0-4
members in the household, b. 5-12
including elders/parents? c. 13-17
17. Do you regularly work longer than d. 18-23
standard hours? e. 24 and older
a. Yes 18. Your organization pays on
b. No working overtime?
a. Yes
b. No
19. On average how many hours a week do you work overtime? (paid and unpaid
overtime work; including work from home, don’t include your commuting time).

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Second Part:
20. Individual Life at Work (Productivity, Energy and Job Satisfaction): Please tick (√)
your response.
A. Productivity Strongly Disagree Neither Agree Strongly
Disagree Agree nor Agree
Disagree
1. I believe I am an effective
employee
2. I am happy with the quality of my
work output
3. I work efficiently
B. Energy
1. I feel enthusiastic in my job.
2. I have appropriate resources to
accomplish task/work/job.
3. I feel I am meeting work
expectations.
C. Job Satisfaction
1. I am satisfied with my job.
2. I like working here.
3. I would recommend this company
to a friend if he/she were looking
for a job.
4. This is the best organization for me
to work for.

21. Individual Life at Home (Free Time and Leisure Activities); Please tick (√) your response
D. Free Time (Work interference Strongly Disagree Neither Agree Strongly
with family) Disagree Agree nor Agree
Disagree
1 Finding time to relax is difficult
for me.
2 I have to change plans at home
because of the demands of my job.
3 Job responsibilities make it
difficult for me to get home task/
errands done.
4 My job prevents me from
attending appointments and special
events at home.
E. Leisure activities (Work to
leisure conflict)
1 I do not have enough time to
participate in leisure activities with
my family/friends because of my
job

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2 I do not have energy to participate
in leisure activities because of my
job
3 I have never been in a suitable
frame of mind to participate in
leisure activities because of my job

22. Individual Life with Family (Binding and Happiness); Please tick (√) your response
F. Binding Strongly Disagree Neither Agree Strongly
Disagree Agree nor Agree
Disagree
1 After work, I have little energy left
for the things I need to do with
family.
2 I think about work when I am with
my family.
3 After work, I just need to be left
alone for a while.
4 My job puts me in a bad mood
with family.
G. Happiness
My involvement in my work:
1 Makes me feel happy with family.
2 Helps me feel personally fulfilled
and this helps me be a happy
family member
3 Provides me with a sense of
accomplishment and this helps me
be a happy family member

23. Individual Social Life (Socialization with Friends and Family): Please tick (√) your
response.
H Friends Strongly Disagree Neither Agree Strongly
. Disagree Agree nor Agree
Disagree
1. My friends really try to help me.
2. I can count on my friends when
things go wrong.
3. I have friends with whom I can
share my joys and sorrows.
I. Family
1. My family really tries to help me.
2. I get the emotional help and
support I need from my family.
3. I can talk about my problems with
my family.

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4. My family is willing to help me
make decisions.

Management Support (Coworker and Supervisor support): Please tick (√) your response
J. Coworker support Strongly Disagree Neither Agree Strongly
Disagree Agree nor Agree
Disagree
My coworker is supportive when I
have a life problem
2. My coworker really cares about
the effects that work demands
have on my personal life
3. I can count on my coworkers
when I encounter difficulties in
my work.
K. Supervisor support
1. My supervisor is supportive when
I have a life problem
2. My supervisor really cares about
the effects that work demands
have on my personal life
3. My supervisor is friendly towards
me.
4. I can count on my supervisor
when I encounter difficulties in
my work.

L. Flexible Working Hours:

1. Flexible working is available? (please circle/√ one, and answer below in same context)
a. Yes, Formally
b. No, informally (flexibility in arrival and departure time and use of other
benefits based on individual arrangements with supervisors)
(Please tick (√) your response) Strongly Disagree Neither Agree Strongly
Disagree Agree nor Agree
Disagree
Flexible work options: Time
1. I can choose flexible working
schedule
2. I can do part-time work (working
fewer hours than a full-time
worker)
3. I can take leave for a family
emergency

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4. I can take paid maternity leave /
paternity leave
5. I can take Child / Elder care leave
6. I can take Education leave
7. I can take leave to pick up child
from daycare/school
Flexible work options: place
1. I can use telecommuting (having
the flexibility to work from home
using a computer)
2. I can use Video conferencing (to
attend meeting)

Third Part:
25. Overall work life balance:
M. Work Life Balance (Please tick Strongly Disagree Neither Agree Strongly
(√) your response) Disagree Agree nor Agree
Disagree
1. It is very easy for me to balance
the demands of my work and my
personal and family life.
2. I have sufficient time away from
my job to maintain adequate work
and personal/family life balance
3. When I take a vacation, I am able
to separate myself from work and
enjoy myself.
4. I would be very happy to spend
the rest of my job with this
organization.
5. I feel that my work and life are
balanced in this job.

Any comments: ________________________________________________________________

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Thank you for your cooperation.