Dear Madam,

I am an MSW- final year student, PSG College of Arts and Science, Coimbatore, Tamilnadu,
doing Project on “WORK LIFE BALANCE OF WOMEN EMPLOYEES IN IT SECTOR”.
Kindly fill up the Questionnaire. I assure you that the information gathered will be for academic
purpose only.

Native:
Religion:
Type of work you do:
Experience (years):
1. Age
O below 30 years O 31-40 years O Above 40 years
2. Educational Qualification:
O Under Graduation O Post Graduation O others, specify…………...

3. Marital status: Married / Un married

If married, is your spouse employed / own business?

4. No. of. Members in your family

O two O three O More than 3

5. Family type: Nuclear family / Joint family

6. Monthly income:
(Answer if applicable)(7-9)
7. How many Children do you have?
O1 O2 O more than 2
8. How old are your children?
O Under 2 years O 2-5 years O 6-10years O 11-14years
O 15-18years O over 18 years
9. Do any of your children have a disability or special need? Yes / No
10. Does your organization provide any work life balance programme? Yes / No
11. Do you have elders to look after at your home? Yes/No
12. Do you get enough sleep, exercise and healthy food? Yes/No
13. Do you spend as much time as you’d like with your loved ones? Yes/No
14. Do you spend most of your time doing what is important to you? Yes/No
15. Are you happy with your Job? Yes/No

16. Are you living your ideal/ best life? Yes/No

17. Does your Job make you feel tired to do the things that need attention at home? Yes/No
18. Areas that may cause difficulty
(Put the symbol ‘y’/ mark for the appropriate one)
Not a Problem Not a Problem Could be a Problem in
now future
Hours of Work
Travel to Work
Holidays/ Paid time off
Un paid time off
Caring for Children
Caring for adult/ adults
Others(please add)

19. Do you believe that your superior support for your Work life balance?
O sometimes O always O rarely
20. Does your spouse help you at your house hold work? (answer it if applicable) Yes/No
21. Can you openly discuss issues related to your work life balance with your superior?
O Yes, all the times O Yes, sometimes O depends on the matter O not at all
22. Do any of the following help you balance your work and family commitments?
(Put the symbol ‘y’/ mark for the appropriate one)
Often Rarely Don’t Some Never
know times
Spending time with friends
Get home on time
Do any study or training you want to do
Keep healthy and fit
Take part in community activities or fulfill
religious commitments
Take care of family and spend time with
them
23. Do any of the following facilitate you balance your work and family commitments?
(Put the symbol ‘y’/ mark for the appropriate one)
Yes No Not available Not applicable
to me to me
Working from home
Laptop
Frequent traveling away form home
Being able to bring children into work
on occasions

24. Do any of the following hinder you balance your work and Life?
(Put the symbol ‘y’/ mark for the appropriate one)
Yes No
Unhelpful attitude of superiors
Unhelpful attitude of colleagues
Unhelpful attitude of family members/
Relations

25. How much time do you spent on the following activities in a working day(in %)
(a)Office ........% (b) Hobbies......... % (c) Household activities…..…%
(d) Study……. % (e) Care……. %
26. How big an impact, work has on Work life balance?
(Put the symbol ‘y’/ mark for the appropriate one)
Yes No
I feel like I have little or no control over my work life
I regularly enjoy hobbies or interests outside of work
I frequently feel anxious or upset because of what is happening at
work
When I am at home I feel relaxed and comfortable
I have time to do something just for me every week
I rarely loose my temper at work
I never use all my allotted vacation days
I frequently think about work when I’m not in work
My family is frequently upset with me about how much time I spend
working
27. What could this Organization do to help you balance your work and family life?
………………………………………………………………………………………………………
………………………………………………………
28. Do you think that if employees have good work-life balance the organization will be more
effective and successful? YES/ NO
If so how?............................................................................................................................
…………………………………………………………………
Thank you  so much for lending me your Valuable time 

Name of the organization (optional):

Department name (please indicate):