WORK LIFE BALANCE QUESTIONNAIRE

1. Age Gender Experience(years) Department

How many hours a day you normally work? 7-8 hours 8-9 hours 9-10 hours 10-12 hours More than 12 hours Do you generally feel you are able to balance your work life? Yes No How often do you think or worry about work (when you are not actually at work or traveling to work)? Never think about work Rarely Sometimes Often Always How many hours a day do you spend time with your child/children? Less than 2 hours 2-3 hours 3-4 hours 4-5 hours More than 5 hours

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5. How do you feel about the amount of time you spend at the work? Very unhappy Unhappy Indifferent Happy Very happy 6. Do you ever miss out any quality time with your family or your friends because of pressure of work? Never Rarely Sometimes Often Always 7. Do you ever feel tired or depressed because of work? Never Rarely

Sometimes Often Always

8. How do you manage stress arising from your work? Yoga Entertainment Dance Music Others, specify_____________________________________________________ 9. Do you personally feel any of the following will help you to balance work life? Flexible starting hours Flexible finishing time Flexible hours, in general Holidays/paid time offs Job sharing Career break/sabbaticals Time off for family engagement/events Others,specify________________________________________________ 10. Does your organization provide you with the following additional work provision? Telephone for personal use Counseling services to the employees Health programs Parenting or family support programs Exercise facilities Relocation facilities and choices Transportation Others,specify____________________________________________ 11. Does your organization encourage the involvement of your family members in the work achievement reward functions? Yes, specify the name of such program annual day______________________ No 12. Does your organization have social functions at times suitable for families? Yes, specify the name of such programs____________ No

13. Do any of he following hinder you in balancing your work and family commitments? Long working hours Compulsory overtime Shift work Meetings/ training after office hours Others specify____________________________________________________ 14. Do any of the following help you balance your work and family commitments?

Technology like cell phones/lap tops Support from colleagues to work Support from family members Others, specify___________________________________________________

15. Do any of the following hinder you in balancing your work and family commitments? Technology such as laptops/cell phones Frequently traveling away from home Negative attitude of peers and colleagues at work place Negative attitude of supervisors Negative attitude of family members Others specify_____________________________________________________ 16. Do you suffer from any stress related disease? Hypertension Obesity Diabetes Frequent head aches None Others specify______________________________________________________ 17. Do you get enough time for working out? Yes No If yes, how many hours? Less than half an hour Half an hour Half an hour to one hour More than one hour

18. What was the last time you lost your temper at work? Cant remember Yesterday/today More than a week Always angry More than a month 19. Flexibility to attend events during the workday or shift, such as a childs school pay, a medical appointment of an elderly relative or a key sports event is important to many people to help them with work life balance? Strongly agree Agree Indifferent Disagree Strongly disagree 20. Do you think that if employees have good work life balance the organization will be more effective and successful?

Yes no