QUESTIONNAIRE ON WORK LIFE BALANCE

1. Name :
2. Age (in years) : 20 – 30 31-40 41-50 Above 50
3. Gender : Male Female
4. Educational qualification:
HSC [ ] undergraduate [ ] Post graduate [ ] Professional [ ]
5. Designation:
Worker/Operator [ ] supervisor [ ] executive [ ] Manager [ ]
6. Monthly income:
☐Below 10000 ☐10001-15000 ☐15001-20000 ☐above 20000

7. Marital Status : Single Married

8. Family Size:
[ ] Up to 3 members [ ] between 4 to 6 members [ ] More than 6 members
9. I feel pressured by too many demands from clients/customers /boss.
Always [ ] Often [ ] Sometimes [ ] Rarely [ ] Never [ ]
10. Does your organization provide you with following additional work provisions?
Counseling services[ ] Parenting or family support programs [ ] Transportation [ ]
11. How do you manage stress arising from your work?
[ ] Yoga [ ]Meditation [ ] Entertainment [ ]Dance [ ] Music
12. Does your company have a separate policy for work-life balance?
[ ] Yes [ ] No
13. Do any of the following hinder you in balancing your work and family commitments?
[ ] Long working hours [ ] Compulsory overtime [ ] Shift work
[ ] meetings/training after office hours
14. Do any of the following help you balance your work and family commitments?
[ ] Working from home [ ] Technology like cell phones/laptops
[ ] Bring Children to work on occasions [ ] Support from colleagues at work
 15. How big an impact work has on work life balance?
Sr.No Often Rarely Don’t Sometimes Never
know
1 Spending time with friends
2 Get home on time
3 Do any study or training you
want to do
4 Take care of personal
business
5 Keep healthy and fit, play
Sports other leisure activities
6 Take part in community
activities or fulfil religious
commitments
7 Take care of family and
spend time with them

16. level of satisfaction with respect to quality of work life

S. Job satisfaction SA A Nue DA SDA
No
1 I am not satisfied with the benefits I receive.

2 Many of our rules and procedures make doing a

good job difficult.
3 I don't feel my efforts are rewarded the way they
should be
4. I am satisfied with my chances for promotion
5. There is too much bickering and fighting at work
6. I am very satisfied with my job
7. I feel great sense of personal satisfaction when I do
 my job well

17. Impact of QWL in Career growth opportunities in your organisation

S.No Career growth opportunities in your organisation SA A Nue DA SDA
1 To work for organisation that provides career
opportunities
2 You have opportunities for professional growth
3 Pursue a new career outside of the field of your
current job
4 You have the opportunity to supervise
5 Your job provides Challenge of performing new
and different job duties
6 You have the Opportunities for input in important
decision
7 There is a challenge of performing new and
different job duties in your organization
8 My current job is helping me to achieve my career
goals