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Ahmadabad
Worklife balance is a broad concept including proper prioritizing between work (career and
ambition) on the one hand and life (Health, pleasure, leisure, family and spiritual
development) on the other. Related, though broader, terms include lifestyle balance and life
balance.
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.
Please put a () in front of appropriate option.
General Information:
1. What are your job hours?
8 hrs__ 10hrs__ 12hrs__ more__
2. Do you work overtime after office hours?
Yes__ No__
If yes, than how many hours?
2hrs__ 4hrs__ more__
3. Overtime at your place is?
Voluntary__ compulsory__
4. Are you satisfied with your break time?
Yes __ No __
5. How frequently do you work overtime?
__ once in a week__ twice in a week__ once in a month__ Everyday-
14. A bad day at your work place! Does it affect your behaviour with your family members?
Yes __ No __
15. Do you think that your role in your family and status in the society has an impact on your
professional life?
Yes __ No__
If yes, then to what extent does it affect your professional life?
Role in family:
Greatly__ Somewhat__ HardlyStatus in society:
Greatly__ Somewhat__ Hardly-
16. What are the various ways in which you overcome stress?
Addicted to smoking. __
Entertainment via television, music, movies etc. __
Outing and Travelling. __
17. How often do you think or worry about work (when you are not actually at work?
Never think about work __
Sometimes __
Often __
Always __
18. Do you think policy for work Life Management helps to increase productivity of the
organization?
Yes __ No __
21. To what extent does your family life and family responsibilities interfere with
your performance on your job in any of the following ways?
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
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
22. To what extent do your job responsibilities interfere with your family life in the following
ways?
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 dont feel up to
doing things that need
attention at home
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Personal Information:
1. Name:
____________________________________________________________________
(First)
(Last)
2. Gender
Male __ Female __
3. Age :4. Marital status
Married __ Unmarried __
5. Educational qualification
Under graduate __ Graduate __ Post graduate __
6. Official post : ____________________________
7. Sector: banking & insurance __ IT __ Automobile___
other (please specify) __________________