Professional Documents
Culture Documents
Work Life Balance
Work Life Balance
We are keen explore whether there are any particular issues for employees
responsibilities within this organization. We want to find out what we are doing well in
assist employees balance their work and family life and how we could improve.
Thank you for your help.
NAME
DEPARTMENT: ..
Please tick the Most Appropriate Options:1. Male [ ]
Female [
2. Age Group
Under 30 year
31 to 40 years
Over 40 years
4.
3. Martial Status
[ ]
[ ]
[ ]
Married
Unmarried
More than 3 [
[ ]
[ ]
Sr.
1
2
3
4
5
6
7
8
9
10
11
12
Often Rarely
Dont
know
Sometimes Never
8 Do you generally feel you are able to balance your work and family life?
Yes
[ ]
No [ ]
9 Do you believe that your superiors style support your work life balance?
Sometimes [ ]
Always [ ]
Rarely [ ]
10 Can you openly discuss issues related to your work life with your superior?
Yes, all the time
Yes, sometimes
Depends on the matter
Not at all
[
[
[
[
]
]
]
]
No response
[ ]
11. Please tick the most appropriate option on statements on work life balance.
Sr.
1
2
3
Strongly
Agree
Agree
Disagree
Strongly
Disagree
12. Please tick if you have any of the responsibilities as primary career?
a.
b.
c.
d.
e.
f.
Child care
Elder care
Caring for sick child
Caring for disable adult
Caring for sick adult
Caring for disabled
[
[
[
[
[
[
]
]
]
]
]
]
13. How much time do you spent on the following activities in a working day (in
percentage)?
Office
Hobbies
Household activities
Study
Care
14. Please tick the following services, which you have used?
a. Medical facilities
b. Educational allowance
c. Holiday pay scheme
[
[
[
]
]
]
15. What could this organization do to help you balance your work and family life?
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]
Sometimes [ ]
Rarely [ ]
Never [ ]
Often [
18. I have to cope with too many organizational or job task changes.
Always [ ]
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]
Rarely [ ]
Never [ ]
Rarely [ ]
Never [ ]
Often [
Sometimes [ ]
Often [
Sometimes [ ]
22. I put things off until it's too late, or no longer matters.
Always [ ]
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]
Rarely [ ]
Never [ ]
Often [
Sometimes [ ]
24. I am unable to establish a clear direction and develop personal and career goals.
Always [ ]
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]
Often [
Sometimes [ ]
Rarely [ ]
Never [ ]