Work Life Balance Questionnaire final

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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 hours Click here Hrs. Paid overtime Click here Hrs. Extra hours 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.

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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

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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

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Click here to enter text. Please save the file and send back to sourabhmunjal0112gmail.com as attached file. Thank You for Your valuable time and Patience Wish you happy work life

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