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Questionnaire

Respected Sir/Madam,
This study on Work Life Balance is a part of Ph.D. program at Punjab Technical
University (P.T.U.),Jalandhar. Kindly spare few minutes of your valuable time in answering the questions.
Please give your frank and truthful opinion to all questions. Please do not leave any question unanswered
until and unless it does not relate to you. Your answers will be kept confidential and your identity will not
be revealed. The response will be used for purely academic purpose.
Thanking you for your kind cooperation and valuable time.
1.

Your Name Please: .

2.

Age :

20-30 Years

31-40 Years

41-50 Years
3.
4.

5.

Gender:
Male
Marital Status:

Above 50 years
Female

Single

Married

Separated

Divorced

Widowed

Religion:

Hindu

Muslim

Sikh

Any other (Please Specify)..

Christian

6.

Caste(Please specify):.

7.

Educational Qualification:
Senior Secondary

Graduation

Post Graduation

8.

Professional Qualification (Please specify).

9.

Designation in the present organization (Please specify)....

10.

Length of service in the present organization:


0-5 Years

16-20 years

6-10 Years

Above 20 years

11-15 Years

11.

12.

13.

14.

Past Employment History :( Please start from your first employment)


Sr. No. Name of
Job Title
Employed
From_________
Organization

To____________

Monthly individual income in the present occupation:


Below Rs. 15,000

Rs. 15,000-30,000

Rs. 45,001- 60,000

Above Rs. 60,000

Rs. 30,001 45,000

Total monthly household income:


Below Rs. 20,000

Rs. 20,000-50,000

Rs. 80,001- 1,10,000

Above Rs. 1,10,000

Rs. 50,001 80,000

Have you got promotion in present job


Yes

No

Cant Say

If yes, Please answer the following questions:


A) How many times have you got promotion
1

More than 3

B) Do you feel that promotion has affected your work life balance
Yes

No

Cant Say

C) If Yes, Please explain in detail, how promotion has affected your work life balance
.................
..
..
15. Have you attended any training program in the your organization in last one year
Yes
No
Cant Say
If yes, Please answer the following questions
A) What type of training it was
On the Job Training

Off the Job Training

B) Do you feel that training has affected your work life balance
Yes

No

Cant Say

C) If Yes, Please explain in detail, how training has affected your work life balance
............
.
.
16.

Spouse Employment status:


Housewife

Service

Self Employed

Self Employed & working from home


17.

Type of Family:

Nuclear

18.

Do you have children


Yes

Joint

No

If yes, Please answer the following questions


A) How many children do you have
1

More than 3

B) In your household, who is primarily responsible for child care


(Please tick any one from the following statements)
I
I am totally responsible
II
I am mostly responsible but spouse helps
III Spouse and I equally responsible
IV Spouse is mostly responsible but I help
V My Spouse is totally responsible
VI If any other is responsible (Please Specify)
C) Did the birth of your child cause any significant changes in you in relation to:
I
II
III
IV
V
VI

Your daily routine


Your habits
Your professional work
The amount of domestic chores
Your relationship with friends
Your free time

Yes
Yes
Yes
Yes
Yes
Yes

No
No
No
No
No
No

Cant Say
Cant Say
Cant Say
Cant Say
Cant Say
Cant Say

D) If yes, explain how your childcare responsibility has affected your work life balance

...................

E) Do you have support of parents/In-laws or any relative for childcare


Yes
No
Cant Say
F) If Yes, Please explain in detail what type of support you get for childcare
..................

G) How much they help you for child care


All the time

Sometimes

If it is necessary

H) How much this helps affect your work life balance. Please explain in detail.
.............
..
.
I) Do you feel grandparents are a big support for working parents in childcare
Yes
19.

No

Cant Say

A) Are you currently having the liability of the following:


I Your parents.
Yes
No
Cant Say
II Parents of spouse
Yes
No
Cant Say
III Any Other relative (Please Specify).
B) If yes, how eldercare liability has affected your work life balance. Please explain in detail.

C)
I
II
III
IV
V
VI

.........................
..
..
In your household, who is primarily responsible for elder care
(Please tick any one from the following statements)
I am totally responsible
I am mostly responsible but spouse helps
Spouse and I equally responsible
Spouse is mostly responsible but I help
My Spouse is totally responsible
If any other is responsible (Please Specify)

20. The following statements are related to various aspects of work life balance. Please indicate the
extent to which you agree/disagree with the following statements. (SA- strongly agree, A- agree, Nneutral, DA- disagree, SD- strongly disagree) (You have to tick one out of five alternatives)

1.
Sr.No.
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
2.
Sr.No.
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8

Job Demands
Statements
I have to keep my mind all the time on my work.
I have deadlines that are difficult to meet.
I often work under time pressure.
Men are allotted more work than women in similar jobs.
Women feel more burdened to work late hours than men.
I am unable to avail my all leaves due to overwork.
The amount of work I do in a day in office is much more than my
capacity.
I have to work beyond fixed hours to keep up with my workload.
Women focus more on quality of work as compared to men.
Job Autonomy
Statements
My superior often decides what work I will do.
I have lot of freedom to decide how to do my work.
I have sufficient authority to fulfill my job responsibilities.
Delegation of authority in appropriate assignments is done in my
organization
I can control the speed at which I work.
I can take initiative and act on my own.
I have full liberty to decide when to do my work or to go home.
In this job, I have enough spare time for fulfilling my family
responsibilities.

3.
Sr.No.
3.1
3.2
3.3
3.4
3.5

Job Involvement
Statements
My job is like a hobby to me.
I enjoy my work more than my leisure time.
I am willing to put extra hours at work when needed.
When I dont feel well in the morning, I still try to come to work.
Most of time, I have to force myself to go to work.

4.
Sr.No.
4.1
4.2
4.3

Job Time
Statements
Men work for longer hours than women in similar jobs.
I cant leave office earlier to my superior even though I want to leave.
I can take time off in lieu of working extra hours in office.

5.
Sr.No.
5.1
5.2

Job Security
Statements
I feel secured in my job.
I often worry about lay off and retrenchment in my organization.

6. Job Stress:
Sr.No. Statements

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

6.1
6.2
6.3
7.
Sr.No.
7.1
7.2
7.3
7.4
7.5

8.
Sr.No.
8.1
8.2
8.3
8.4
9.
Sr.No.
9.1
9.2
9.3
9.4
9.5

Working all day really a strain for me.


I feel exhausted at the end of day.
Men are more under stress than women in my organization.
Household Demands:
Statements
Most of the time, I am involved in household related activities.
My family demands greater attention from me than I can afford
mentally and physically.
Women often take primary responsibility of household activities as
compared to men.
Women can handle childcare activities more efficiently than men.
Women feel more comfortable in joint family due to shared
household responsibilities than in nuclear families.

Family support
Statements
Men get more family support than women for their career.
My family gives me moral support to face work challenges.
I am able to get all support and love, I want from my family in spite
of my job pressure.
My family helps me in my household work.
Family to work spillover
Statements
My home life develops skills in me that are useful in office work.
I will prefer my family than this job if needed.
Family worries distract me when I am at work.
Due to family responsibilities, I would turn down better job
assignments
Dual role (work & family) of women is used to discredit them as
being less committed in organization as compared to men.

10. Attitude towards Gender role


Sr.No. Statements
10.1
I believe that men should earn money and women should take care of
home.
10.2
I believe that women are able to work as equals with men in all
professions
10.3
As compared to men, women should give first priority to family than
career
10.4
I believe that the child who spends more time in day care, his/her
growth is not proper.

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

11. Personal Financial Strain


Sr.No. Statements
11.1
In the absence of financial security, it is difficult to maintain work life
balance.
11.2
Women often have to do job due to financial constraints in family.
11.3
Financial worries contribute more stress to women as compared to
men.
11.4
I may forgo my career advancement because I want my spouse to
continue in job.
12. Life Satisfaction:
Sr.No. Statements
12.1
I get major satisfaction in my life from family.
12.2
I get major satisfaction in my life from work.
13. Work to Family Role Spillover
Sr.No. Statements
13.1
I frequently do official work at home.
13.2
My job develops skills in me that are helpful in household activities.
13.3
In emergency, men are asked to come to office instead of women.
14. Support from Colleagues
Sr.No. Statements
14.1
Negative attitude of colleagues disturbs my work life balance.
14.2
Women experience more conflict with colleagues than men.
14.3
Employees usually show resentment when women take maternity
leave.
15. Support from Superior
Sr.No. Statements
15.1
My superior dont mind if I come late or leave early occasionally for
family needs.
15.2
My superior is helpful in getting the job done when my household
demands me to leave my office early.
16. Organizational work life support
Sr.No. Statements
16.1
Men receive more organizational support than women.
16.2
Higher management encourages superiors to be sensitive to
employees family needs.
16.3
My management encourages the involvement of employees family
members in official get- together.
17. Opportunity for advancement
Sr.No. Statements
17.1
Men get more advancement opportunity than women in the present
day organizations
17.2
As compared to men, women generally prefer a career in which work

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

SA

DA

SD

is not so demanding.
18. Organization Communication
Sr.No. Statements
18.1
Men communicate more effectively than women in official matters.
18.2
Grievances of men and women are handled fairlyin my organization.
19. Work Life Balance
Sr.No. Statements
19.1
My work involves me so much that I am unable to spend time
with my family.
19.2
I often have to miss important family activities because of my
work demands.
19.3
The time I spend on my family often interferes with my work
responsibilities.
19.4
I wish I had more time to look after the requirements of family.
19.5
On a holiday, I am able to separate myself from work and enjoy
myself with my family.
19.6
I dont feel like taking time off during my work to take care of
family matters.
19.7
Having shared work at home is still a dream for working
women.
19.8
My management believes that work life balance is entirely an
individual issue.
19.9
This job enables me to balance my work and family life.
19.10 Due to disturbed work life balance, I often have to be absent
from job.
19.11 Due to disturbed work life balance, my production & quality of
work have been reduced.
19.12 Due to disturbed work life balance, I often think to leave this
job.
20. Organization Commitment:
Sr.No. Statements
20.1
I would be happy to spend rest of my career with this organization.
20.2
I want my children to work for this organization.
20.3
I will turn down a job with more salary in order to stay in the same
organization because of better work life balance.

SA

SA

SA

DA

DA

DA

SD

SD

SD

21.Please indicate how much you are satisfied with the following (HS-Highly Satisfied, S- satisfied,
N-neutral, D-Dissatisfied, SD-Strongly dissatisfied)
(You have to tick one out of five alternatives)
Sr.No.
1
1.1
1.2
1.3

Statements
General Working Conditions
Working Hours per week
Location of work
Physical working conditions in office

HS

SD

1.4
2
2.1
2.2
2.3
2.4
2.5
3
3.1
3.2
3.3
4
4.1
4.2
4.3
5
5.1
5.2
5.3

Amount of paid vacations/sick leave offered


Pay and Promotion
Present Salary
Fringe Benefits
Job Security
Opportunity for Promotion
Recognition of work accomplished
Work relationships
Relationship with Superior
Relationship with Colleagues
Relationship with Subordinates (If applicable)
Use of Skills and Abilities
Opportunity to utilize your skills and talents
Opportunity to learn new skills
Support for additional training and education
Work Activities
Variety of job Responsibilities
Degree of independence associated with work role
Adequate opportunity for periodic changes in duties

22. Following are open ended questions which require you to explain the situation. Kindly give the
explanation. You can use extra sheet for the same.
A. Are there any obstacles to your career advancement on gender basis? If yes, explain how?
.
.
.
.
B. How do you meet the expectations of your family in spite of work pressure?
.
.
.
.
.
C. Are you able to give justice to your family due to dual (Work and family) role? If yes, how?
.
.
.
.
.
D. How do you manage your conflicting demands of your life and work roles? Please Explain?
.

.
.
.
.
E. What problems are you facing while balancing your work and family life? Please Specify?
..
..
..
..
.
F.

How do you manage stress arising from your work and family life? Please explain?
.
.
.
.
.

G. How does your organization help you to manage your work life balance? Please explain?
.
.
.
.
H. Which family friendly policies are being provided to you by your organization? Please specify?

.
.
.
I.

What are you doing personally to obtain a well balanced work life balance? Please Explain?

J. What is the usual daily time schedule for the family and work related activities? Please specify?
..

..

.
K. Do you think your gender impacts your work life balance? If yes, how?

....

.
L. How do you meet the expectations of your superior? Please Explain?

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