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    Work Life Balance Questionnaire PDF

    Uploaded by

    Ayu Raditya

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Work Life Balance Questionnaire PDF

    Uploaded by

    Ayu Raditya
    292 views4 pages

    Original Title

    Work_Life_Balance_Questionnaire.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    292 views4 pages

    Work Life Balance Questionnaire PDF

    Uploaded by

    Ayu Raditya

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Questionnaire

    Dear Participant
    You are invited to participate in this WORK LIFE BALANCE survey. Aim of this questionnaire is to study
    determinants and their effects on work and personal life of employees. The information provided by you will
    be kept confidential and used for the research purpose.

    Name: Click here to enter text. Age: Choose Select age Group

    Gender: Choose an item.

    Name of Organization: Click here to enter text.

    Job Title: Click here to enter text.

    1. How many hours in a week do you normally work? (Please write in space provided against each category)

    Standard Paid Extra hours


    hours Click here Hrs. overtime Click here Hrs. without pay Click here Hrs.

    2. Do you normally work any hours outside the ‘usual’ working week?
    (Early mornings before 8am, evenings after 5pm or weekend work)

    3. What factors do you consider while looking for a job?

    Not Important Quite Important Important Very Important Not Applicable


    Salary/Wages

    Location of workplace

    Holidays

    Interest in job

    Career development
    prospect
    Flexible working Hours

    Leave Arrangement (Casual,


    Academic, Sick, Maternity/Parental etc.)
    Training opportunities

    Job security

    Friendly Environment

    4. How do you rate your current job in following parameters?

    Poor Satisfactory Good Very Good Not Applicable

    Salary / Wages

    Location of workplace

    Holidays

    Interest in job

    Career development
    prospect
    Flexible working Hours

    Leave Arrangement (Casual,


    Academic, Sick, Maternity/Parental etc.)

    Training opportunities

    Job security

    Friendly People

    5. Overall, how satisfied would you say you are with your job?

    6. Are you currently living with a spouse or partner?

    7. Do you have any children living at home with you? If yes how many.
    No. of Children Click here to enter text.
    8. Do you look after, or provide any regular care or help for any sick, elderly or disabled adults?

    9. To what extent does your family life and family responsibilities interfere with your performance on your job
    in any of the following ways?
    Strongly Agree Agree Neutral Disagree Strongly Disagree
    Family matters reduce the time
    you can devote to your job
    Family worries or problems
    distract you from your work
    Family activities stop you getting
    the amount of sleep you need to do
    your job well
    Family obligations reduce the time
    you need to relax or be by yourself

    10. To what extent do your job responsibilities interfere with your family life in the following ways?

    Strongly Agree Agree Neutral Disagree Strongly Disagree


    Your job reduces the amount of
    time you can spend with the family
    Problems at work make you
    irritable at home.
    Your work involves a lot of time
    away from home
    Your job takes up so much energy
    you don’t feel up to doing things
    that need attention at home

    11. Does your organization have policy for “work life balance?

    12. Work life balance policies applied in same way at all levels of management in your organization or it covers
    all levels in hierarchy.

    13. Your organization encourages involvements of employee’s family members in work/organization’s


    celebrations or organization arrange occasions/functions where employee’s family members can participate.

    14. Employees are expected to put their jobs before family and personal matter.

    15. Do you have any suggestion about ‘work life balance’?


    In other words, how happy you are with the way you divide your life up between work, family, caring for others and
    leisure? (Please give your answer in following box)
    Click here to enter text.

    Please save the file and send back to [email protected] as attached file.
    Thank You for Your valuable time and Patience
    Wish you happy work life!!

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