Work life balance (WLB) questionnaire

1. Age: ________________________
2. Gender: Male/ Female: ___________________
3. Designation: ____________________________
4. Nature of Org: __________________________
5. Do you normally work more than 6 days in a week?

Always Often Sometimes Rarely Never

6. Do you normally work more than 12 hours in a day?

Always Often Sometimes Rarely Never

7. Do you feel you are not able to balance your work life?

Always Often Sometimes Rarely Never

8. How often do you think or worry about work (when you are not actually at work)?

Always Often Sometimes Rarely Never

9. Do you work in shifts?

Always Often Sometimes Rarely Never

10. Do you find yourself unable to spend enough time with your family?

Always Often Sometimes Rarely Never

11. Do you ever miss out any quality time with your family or your friends because of
pressure of work?

Always Often Sometimes Rarely Never

12. Do you ever feel tired or depressed because of work?

Always Often Sometimes Rarely Never

13. Are you not able to get time for working out?

Always Often Sometimes Rarely Never

14. Do you take special initiatives to manage your diet?

 Always Often Sometimes Rarely Never

15. Does your company have a separate policy for work-life balance?

Yes No Not Aware

If organization frames a policy for employees, what points you think are important and should be
included in the policy yes what the provisions under the policy are?

16. Flexible working hours

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

17. Holidays/ paid time-off

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

18. Job sharing

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

19. Career break/sabbaticals

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

20. Counseling services

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

21. Health programs

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

22. Family support programs

Strongly Agree Indifferent Disagree Strongly

Agree Disagree
23. Exercise facilities

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

24. Paid paternity leaves

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

25. Opportunity to return to the same job after maternity or paternity leave

Strongly Agree Indifferent Disagree Strongly

Agree Disagree

26. Does your organization should encourage the involvement of your family members in
work- achievement reward functions?
27. Does your organization should arrange social functions at times suitable for
families?
28. Do you feel work life balance policy in the organization should be customized to
individual needs?
29. Do you think that if employees have good work-life balance the organization will be
more effective and successful?
30. Do you suffer from any stress-related disease?
31. How do you manage stress arising from your work?
32. What is your perception about the importance of WLB?
33. What are your suggestions for the organization to manage employee’s work-life?
34. What initiatives you suggest for individual to manage his work-life.