WORK LIFE BALANCE QUESTIONNAIRE
1] please tick the relevant box
o Male
o Female
2] please indicate your views with the following
particulars Strongly agree agree Neither agree nor disagree disagree Strongly disagree
To achieve a balance between paid work and personal life is important
Work life balance should be partly an individuals responsibility and partly employers responsibility.
People needs vary with working patterns in order to balance paid employment and personal life
Do you generally feel you are able to balance your work and family life
Personal life
3] what is your marital status
o Married
o Never married
o Divorcee
4] how many children do you have
o 1
o 2
o 3
o more than 3
5] how old are your childrens
o under 5 yrs
o 5-12 yrs
o 12-18 yrs
o above 19 yrs
6] tick the following relevantly
o are you in a nuclear family
o are you in a joint family with elders to support
o do you have aged members to be supported by you in the family
7] do you feel divorce rates increase due to low concentration towards family
Strongly agree agree Neither agree nor disagree disagree Strongly disagree
8] Do any of the following help you balance your work and family commitments?
particulars Yes No Not availableto me Not applicable to me
Working from home
Technology such as laptops or cell phones
Crèche facility
9] how far the following factors affect your personal life
particulars Affect strongly affects Affects to an considerable extent Does not affect at all
Cell phone interruptions in personal time
Tranfer/deputations
Long work hours
Nature of relation with the peer group
Nature of relation with the superiors
10] does your work life enable you to cope up with your family life in the following factors
Particulars
Are you able to fulfil your family duties
Do you miss your time with family, kids,friends
How often you go on a vacation/outing with your family
Does your personal life is being a stress for your work life
1] please tick the relevant box
o Male
o Female
2] please indicate your views with the following
particulars Strongly agree agree Neither agree nor disagree disagree Strongly disagree
To achieve a balance between paid work and personal life is important
Work life balance should be partly an individuals responsibility and partly employers responsibility.
People needs vary with working patterns in order to balance paid employment and personal life
Do you generally feel you are able to balance your work and family life
Personal life
3] what is your marital status
o Married
o Never married
o Divorcee
4] how many children do you have
o 1
o 2
o 3
o more than 3
5] how old are your childrens
o under 5 yrs
o 5-12 yrs
o 12-18 yrs
o above 19 yrs
6] tick the following relevantly
o are you in a nuclear family
o are you in a joint family with elders to support
o do you have aged members to be supported by you in the family
7] do you feel divorce rates increase due to low concentration towards family
Strongly agree agree Neither agree nor disagree disagree Strongly disagree
8] Do any of the following help you balance your work and family commitments?
particulars Yes No Not availableto me Not applicable to me
Working from home
Technology such as laptops or cell phones
Crèche facility
9] how far the following factors affect your personal life
particulars Affect strongly affects Affects to an considerable extent Does not affect at all
Cell phone interruptions in personal time
Tranfer/deputations
Long work hours
Nature of relation with the peer group
Nature of relation with the superiors
10] does your work life enable you to cope up with your family life in the following factors
Particulars
Are you able to fulfil your family duties
Do you miss your time with family, kids,friends
How often you go on a vacation/outing with your family
Does your personal life is being a stress for your work life
1 Attachment(s) [Login To View]