QUESTIONS

1. How old are you?

( ______ )

1. Under 30 years 2. 31-40 years 3. Over 40 years

2. Are you married? Yes/no (

1. 2. 3. 4. 5. 6. 7.

Im able to balance my work and personal life I have the time to reach my personal and career goals satisfactorily Personal issues do not hinder my ability to perform effectively at work My personal and work demands are overwhelming Careers in business are incompatible with work/life balance I need to make many adjustments to fit into my work environment Work life balance program 1. Company sponsored education/training 2. Flexible scheduling/flextime 3. Work from home occasionally 4. Flexible career paths 5. Maternity leave with pay 6. Paternity leave with pay 7. Work from home regularly

3. 8. IMPACT OF WORK ON HOME

Your job makes you feel too tired to do the things that need attention at home. Yes/no

Your job reduces the effort that you can give to activities at home. Yes/no

Having a good day on the job makes you a better companion at home. Yes/no The things you do at work make you a more interesting person at home. Yes/no

4. IMPACT OF HOME ON WORK

Responsibilities at home reduce the effort you can devote to your job. Yes/No Personal or family worries and problems distract you when you are at work. Yes/No

Activities and chores at home prevent you from getting the amount of sleep you need to do your job well. Yes/No Stress at home makes you irritable at work. Yes/No