QUESTIONNAIRE

NAME:............................................
DESIGNATION:..............................................
DEPARTMENT:..............................................

Q1. Age Group:

18-25

25-35

36-45

Q2. How many days in a week do you normally work?

a) Less than 5 days
b) 5 days
c) 6 days
d) 7 days
Q3. How many hours in a day do you normally work?
a) 7-8 hours
b) 8-9 hours
c) 9-10 hours
d) 10-12 hours

Q4. Are you married?

a) YES
b) NO
If yes, is your partner employed?

above46

a) YES
b) NO
Q5. Do you have children?
a) YES
b) NO
Q6. Being an employed woman who is helping you to take care of your children?
a) Spouse
b) In-laws
c) Parents
d) Servants
e) Crche/day care centres
Q7. How many hours in a day do you spend with your child/children?
a) Less than 2 hours
b) 2-3 hours
c) 3-4 hours
d) 4-5 hours
e) More than 5 hours
Q8. Do you regularly meet your child/children teachers to know how your child is
progressing?
a) Once in a week
b) Once in two weeks
c) Once in month
d) Once in 6 months
e) Once in a year.

Q9. Do you take care of:

a) Older people
b) Dependent adults
c) Adults with disabilities
d) Children with disabilities
e) None
Q10. How do you feel about the amount of time you spend at work?
a) Very unhappy
b) Unhappy
c) Indifferent
d) Happy
e) Very happy
Q11. Do you ever miss out any quality time with your family or your friends because of
pressure of work?
a) Never
b) Rarely
c) Sometimes
d) Often
e) Always
Q12. Do you ever feel tired or depressed because of work?
a) Never
b) Rarely
c) Sometimes
d) Often
e) Always
If you feel tired or depressed, according to you what can be the causes for that:

a) Unrealistic deadlines
b) Lack of support from the superiors
c) Task assigned is above the knowledge/skills level
d) Others(specify).........................................................................................................
.................................................................................................................................
.................

Q13. How do you manage stress arising from your work?

a) Yoga
b) Meditation
c) Entertainment
d) Dance
e) Music
f) Nothing
Q14. Does your organization have a separate policy for work-life balance?
a) Yes
b) No
c) Not aware
If, yes what are the provisions under the policy?
a) Flexible starting time
b) Flexible ending time
c) Flexible hours in general
d) Holidays

e) Job sharing
f) Others
(specify).............................................................................................................
Q15. Do you personally feel any of the following will help you to balance your work life?
a) Flexible starting hours
b) Flexible finishing time
c) Flexible hours in general
d) Holidays
e) Job sharing
f) Time off for family engagements/events
g) Others
(specify)..............................................................................................................
Q16. Do any of the following hinder you in balancing your work and family
commitments?
a) Long working hours
b) Compulsory overtime
c) Meeting or training after office hours
d) Others
(specify)...........................................................................................................
Q17. Do you suffer from any stress-related disease?
a) Hypertension
b) Obesity

c) Diabetes
d) Frequent headaches
e) None
f) Others (specify)....................................................................................................
Q18. Do you get enough sleep, exercise and healthy food?
a) YES
b) NO
Q19. Do you think that if employees have good work-life balance the organization will
be more effective and successful?
a) YES
b) NO

SIGNATURE:..............................
DATE:...................................