QUESTIONNAIRE

A STUDY ON QUALITY OF WORK LIFE OF NURSES IN 
MADURAI AND DINDIGUL DISTRICTS 
    Dear Madam/ sir, I am S.Jayaraman, currently I am pursing my doctoral degree on the above title at 
Madurai Kamaraj university, for that I need your cooperation in terms of responding to the following questions in this 
questionnaire, the answer are always kept as secret and I assure that, it will utilize only for this purpose , 

 
1. Age     
18 to 25          26 to 35       36 to 45         46 to 55      above 55 

2. Marital status 

      Married           Unmarried       Divorce 

3. No of   children   

           1                            2                        3 and above 

4. Your native:        5.Working place:    Rural     Urban 

6. Whether your spouse is working? 

        Yes           No 

7. Educational level   

 Up to+2    Diploma         B.Sc Nursing         M.Sc Nursing         

8. You are working in 

Medical college hospital         Government hospital    Primary health center 

Updated primary health center      Private Multi specialty hospital     

Private Nursing Home   

9. Monthly   income   

    Rs1500 to 5000       Rs 5000 to 7000          Rs 7000 to 10,000         

  Rs 10000 to 15000               Above Rs.15, 000 

   
 

10. Designation 

Head nurse / Nursing Superintend                Matteren          Staff Nurse     

District Public health nurse      Community health nurse    Sector health nurse   

Village health nurse        Auxiliary nursing Midwifery           General nursing Midwifery   
 

11. Years of Experience  
Below 2 years      2‐ 5 years      5‐ 10 years      10 ‐20  years   

above 20 years  

 12. How many employees working at your hospital? 

Below 15      15‐25           26‐50        51‐100      

101‐200          above 200.  

13. You are residing at 

Own house       Rental house       Quarters      Hostel      

14. Are you having aged parents at home? 

Yes               No 

15. In a normal working day, how much time you will take to relax? 

15mts    15 to 30 mts    30 to 60  mts      more than an hour    nothing 

16. In a month How many days  you have to do the O.T in your hospital? 

Less than 5 days   5 to 10 days      10 to 20 days     more than 20 days    No O.T 

   
 Please provide your opinion for the followings 
Strongl Agree neither Disagre Strongly
JOB FACTORS y agree agree nor
disagree
e disagree

Autonomy, Participation, Control over practice
17.  I have a choice in deciding what and how I have do my work
18  The opportunities for develop new ideas and skills in my job
19.  I have the authority to make decisions that improve the quality of
my work.
20.  The authority and decision making powers affects my job and job
skills.
21.  In your hospital the suggestions made by you are always accepted.
22.  When making decisions, setting policy, making changes, etc.,
there is a sufficient effort made to get the opinions and thoughts of
the people who work here.
23.  The work environment always supports my duty & its execution.
24. The patients are always behaving with respect with us.
Pay & Pay Equity, Reward & Recognition
25. I am receiving higher salary than other hospital nurses.
26. I am receiving higher salary than other employees.
27. The salary from my job is adequate and enough to meet My family's
usual monthly expenses and bills.
28. I am receiving a fair salary in my job based upon my experience.
29. The benefits and allowances is job is highly satisfied.
30. My salary affects my job, Skill and my Life.
31. In my hospital the skilled and talented employees receiving fair
salary.
32. I am receiving the norms based salary for my designation.
33. Fair and equitable work performance evaluation is there for my job.
Resource Adequacy, Training / competency development
34. I am receiving enough information, help, equipment and facilities to get
my job done.
35. I have the access to the information that I need to make good
Decisions.
36. I am easily getting the instruments and equipments for my job.
37. During the work, I am able to get the additional resources as per
need.
38. Enough nursing staff are provided or employed to take care the patients.
39. The inadequate information and resources affects my job and skill.
40. The training and development I’ve received has improved my
performance.
   
 Strongly Agree neither Disagree Strongly
JOB FACTORS agree agree
nor
disagree

disagree
41. The superiors and Doctors have taken steps to ensure that my job-related
skills are updated in a timely fashion.
Work Load, Hours of Work / Over Time
42. I have too much work to do everything well.
43. I have to work more for the expectation.
44. I am having enough time to do my job.
45. My workload is manageable.
46. My job consists of un attainable goals and short of time.
47. I can change starting and closing time of my work.
48. It is hard to combine the demands from various departments.
49. My job is routine and consist of awkward poses.
50. The work load affects my job and skills.
51. I am able to complete my tasks with the stipulated time.
52. Usually my working hours extending above the actual working
hours.
53. The Overtime is compulsory in my job.
Co-Worker, Management / Supervisors’ relations & Respect at Work
54. There is good cooperation and coordination in between my
colleagues.
55. My colleagues are willing to listen to my work-related problems and
providing suggestions and help for improving the work.
56. If work gets difficult, my colleagues will help and support me.
57. My colleagues are providing necessary information and support at right
time.
58. My colleague’s interference affects my job and skills.
59. My supervisors/ doctors are encouraging me at work.
60. The work that I do is valued by my supervisors/ doctors.
61. My supervisor treats my mistakes as opportunities for me to learn and
improve.
62. My superiors keep us informed about what's going on in my department
/work area/hospital.
63. My supervisor/ doctors support me when I take appropriate risks even
those that fail.
64. My supervisor has the skills to lead.
65. My supervisor is a role model to me.
66. My supervisors listen to other staffs.
67. My supervisor gives me help and support in getting the job done.
68 My supervisor treats me and my colleagues as fairly.
69. My supervisor is concerned about the welfare of the subordinates.
70 My colleagues gently and respectively treat me.
71 My colleagues always appreciate my work.

 
 Strongly Agree neither Disagree Strongly
JOB FACTORS agree agree
nor
disagree

disagree

Promotions
72. Promotions are handled fairly and without partiality.
73. The opportunities for promotion are good.
74 Promotion and increment policies affecting my job and job skills.
Job Discrimination
75. There is no more discrimination in my hospital based on age, sex,
religion, rays and gender.
76. Harassment and Discrimination is prevented at my workplace.
77 There is equal opportunity for all staff in my hospital.
78. There is no more discrimination in my hospital from the superiors.
79. The Discrimination in my office affects my job and job skills.
Job Stress
80. The work load is heavy in my nursing profession.
81. I have to work for long hours in very committed manner.
82. My job creates stress.
83. I am missing some tasks due to heavy work load.
84. Heavy work load and insufficient facilities creates job stress.
85. My state of mind is always in peace at my job.
Job safety
86. My job secured.
87. There is no fear about retrenchment or suspension of employees in
my hospital.
88. The provided instruments are good and reliable.
89. The provided safety measures (gloves, masks) are good and
reliable.
90. The thought about my job security affects my job and job skills.
Job Satisfaction
91. I feel proud for working as a nurse.
92. My work is always interesting.
93. I feel pride and a sense of accomplishment when the patient got cure
through my services.
94. I feel satisfied personally and monetarily with my profession.
95. Overall, taking everything into consideration, I am satisfied with my job
as a whole.
Participation in Union
96. A strong trade union/ Association is needed to protect the nurses
welfare.
97. Trade union/ Association is allowed in my hospitals.
98. I am also participating in trade union / association activities.
99. trade union (or) Association protecting and upgrading the nurses
welfare.
   
 Strongly Agree neither Disagree Strongly
JOB FACTORS agree agree
nor
disagree

disagree
100. Nursing trade union (or) Association is not needed one.
Work life Balance
101. My job affects my personal family Things.
102. I am able to spend time for my Family and my personals.
103. I am able to achieve a healthy balance between my work and family.
104. The demands of my job occupy my personal and family timings.
105. The demand of my family and personals affects my job.
106. I am able to take care of personal or family matters during my work.
107. My hospital is taking care about the non interference of job into the
personals.
108 My hospital trained me to handle the balance between the work and
life.
Work Quality
109. My Hospital (or) Job environment is highly safe.
110. My work environment is always satisfying and happiest one.
111. I have all the rights and authentication according to my job.
112. I feel satisfied about my salary and other benefits in my job.
113. I am fully satisfied in my job.
Health and well being
114. My job affects my Health and well being.
115. My hospital takes care of my Health and well being.
116. I am frequently taking leave because of ill health and mental stress.
117. The medical facilities provided to the nurses in my hospital are
good.
118. My hospital taking care of my family’s wellbeing.
Self , Society, Friends and family support
119 I am able to spend time for my hobbies.
120. I am able to spend time for my entertainments.
121. I am able to spend time for my personals.
122. I am able to spend time with my friends.
123. I am able to gather in the good and bad of friends
124. My friends also participating in my good and bad
125. My neighbors and society are recognizing me well
126. I able to participate in the functions happening near around my
residence
127. I happily participating in public services near around my residence
128. My family members supports my work
129. My neighbors and relations having a good opinion on my
profession
130. My family members having the pride on my profession
131. My family members and relations compelling me to switch over to
some other job
   
 Strongly Agree neither Disagree Strongly
JOB FACTORS agree agree nor
disagree
disagree

Life Quality
132. I attained my life goal through my nursing profession
133. My job increases my life quality
134. I feel my life as great
135. As a nurse I am satisfied in my personal life and feel safe
136. As a nurse I am satisfied in my family life
137. As a nurse I feel my future is safe
Quality of Work Life
138. The Quality of my Work and Life is satisfactory
Impact on nurses Performance
139. I am always happily going to the job
140. Because of good Quality of Work and Life, my job is easy and
highly prefer able
141. Because of good Quality of Work and Life, my efficiency is
increased
142. Because of good Quality of Work and Life, I am able to provide
the best service to my patients
143. Because of good Quality of Work and Life, my health and
wellbeing is in good status
144. Because of good Quality of Work and Life, the turnover of
employees is come down in my hospital
145. Because of good Quality of Work and Life in my hospital , we
employees coordinately working together
146. Because of good Quality of Work and Life, the understanding
increased in between the Management, Doctors and Supervisors’
147. The good Quality of Work and Life helps to attain the hospital
objectives
148. Because of good Quality of Work and Life, I feel my life as great