Questionnaire (Female)

Name:…………………………………………………………………………………
Age:…………Years Id No:…………………………………………
Sex: M F Marital Status: Married Unmarried
Field of work:…………………………………………………………………………
Wage/Salary: Rs……………………….
Duration of service:…………………….Years…………………..Months

1. Do you get overtime? Always Sometimes Never

2. Do you get bonus on time? Always Sometimes Never

3. Do you get wages/salary on prescribed time? 0-7 Days 7-15 Days After 15 days

4. Do you get equal wage in comparison to male employees? Yes No

5. Is your attendance made properly? Yes No Don’t Know

6. Are you satisfied with the working environment? Yes No Can’t Say

7. What standard of facilities are provided by the employer in respect of drinking water and
latrines & urinals? Excellent Good Normal Not Satisfactory

8. In case of accident does your contractor take care/help/assistance on time?

Excellent Good Satisfactory Not Satisfactory

9. Are you aware, what benefits would your family get if you expire during the service?
Yes No

10. Do you get the benefits from ESI and EPF scheme? Yes No Can’t Say

11. Have you been made to work in night shifts? Yes No

12. Do you get the prescribed maternity benefit? Yes No

13. Is harassment complaints registered and is any action taken? Yes No

 Questionnaire (Male)
Name:…………………………………………………………………………………
Age:…………Years Id No:…………………………………………
Sex: M F Marital Status: Married Unmarried
Field of work:…………………………………………………………………………
Wage/Salary: Rs……………………….
Duration of service:…………………….Years…………………..Months

1. Do you get overtime? Always Sometimes Never

2. Do you get bonus on time? Always Sometimes Never

3. Do you get wages/salary on prescribed time? 0-7 Days 7-15 Days After 15 days

4. Is your attendance made properly? Yes No Don’t Know

5. Are you satisfied with the working environment? Yes No Can’t Say

6. What standard of facilities are provided by the employer in respect of drinking water and
latrines & urinals? Excellent Good Normal Not Satisfactory

7. In case of accident does your contractor take care/help/assistance on time?

Excellent Good Satisfactory Not Satisfactory

8. Are you aware, what benefits would your family get if you expire during the service?
Yes No

9. Do you get the benefits from ESI and EPF scheme? Yes No Can’t Say

10. Have you been made to work in night shifts? Yes No

11. Is harassment complaints registered and is any action taken? Yes No