10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

WORK LIFE BALANCE IN HEALTH

SECTOR -A STUDY OF HOSPITALS IN
JABALPUR DISTRICT
PERSONAL INFORMATION
* Required

1. NAME:

2. AGE

3. GENDER:

Mark only one oval.

Female

Male

Other:

4. MARITAL STATUS

Mark only one oval.

SINGLE

MARRIED

5. YEARS OF EXPERIENCE:

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

6. How many hours do you work in a day? *

Mark only one oval.

Less than 6 hours

6-8 hours

8-10 hours

More than 10 hours

7. How much time do you travel to reach at work place? *

Mark only one oval.

Less than 1 hour

1-2 hours

2-3 hours

More than 3 hours

8. Do you miss family/society functions due to work? *

Mark only one oval.

Always

Most of the times

Sometimes

Never

9. Do you agree that you spend enough time with your family? *

Mark only one oval.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

10. Does your organization encourage participation or involvement of your family

members in functions conducted by/for employees? *

Mark only one oval.

Always

Most of the time

Sometimes

Never

11. Does your organization provide counselling facilities? *

Mark only one oval.

Yes

No

Maybe

12. Does your organization provide flexible working hours option? *

Mark only one oval.

Yes

No

Maybe

13. Does your organization provide maternity/paternity leaves? *

Mark only one oval.

Yes

No

Maybe

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

14. Are you satisfied with the leave policy of your organization? *

Mark only one oval.

highly satisfied

satisfied

dissatisfied

highly dissatisfied

15. How often do you work over time? *

Mark only one oval.

always

Sometimes

Never

often

16. Do you agree that longer working hours can adversely affect your work
performance? *

Mark only one oval.

Strongly disagree

Disagree

Agree

Strongly agree

17. Do you worry about work or have work pressure even when you are not at work
or travelling to work? *

Mark only one oval.

Yes

No

Maybe

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

18. Do you suffer from any stress related diseases? *

Mark only one oval.

Yes

No

Maybe

19. Do you think you have good career prospects in this organization? *

Mark only one oval.

Yes

No

Maybe

20. What is the influence of career prospects on work performance? *

Mark only one oval.

Highly influential

Influential

Less influential

Not at all influential

21. Are you able to work effectively when you are stressed about work related
issues (eg: deadlines, targets etc)? *

Mark only one oval.

always

Sometimes

most of the times

never

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

22. Do you find it difficult to work effectively when you are unable to fulfil the needs
of family or worried about family issues? *

Mark only one oval.

Yes

No

partially

23. What is your topmost priority among the following? *

Check all that apply.

career
health
family
hobbies
friendship

24. Are you satisfied with the balance you maintain between the work and your
personal priority? *

Mark only one oval.

Highly satisfied

Satisfied

Dissatisfied

Highly dissatisfied

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

25. Which among the following do you think affects your productivity the most? *

Check all that apply.

Longer working hours

Increased stress
Inability to spend time with family/inability to fulfil needs of family
Lack of good career prospects
financial problems
Unhealthy relationship with colleagues /conflicts with colleagues

26. NAME:

27. AGE

28. GENDER:

Mark only one oval.

Female

Male

Other:

29. MARITAL STATUS

Mark only one oval.

SINGLE

MARRIED

30. YEARS OF EXPERIENCE:

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

31. How many hours do you work in a day? *

Mark only one oval.

Less than 6 hours

6-8 hours

8-10 hours

More than 10 hours

32. How much time do you travel to reach at work place? *

Mark only one oval.

Less than 1 hour

1-2 hours

2-3 hours

More than 3 hours

33. Do you miss family/society functions due to work? *

Mark only one oval.

Always

Most of the times

Sometimes

Never

34. Do you agree that you spend enough time with your family? *

Mark only one oval.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

35. Does your organization encourage participation or involvement of your family

members in functions conducted by/for employees? *

Mark only one oval.

Always

Most of the time

Sometimes

Never

36. Does your organization provide counselling facilities? *

Mark only one oval.

Yes

No

Maybe

37. Does your organization provide flexible working hours option? *

Mark only one oval.

Yes

No

Maybe

38. Does your organization provide maternity/paternity leaves? *

Mark only one oval.

Yes

No

Maybe

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

39. Are you satisfied with the leave policy of your organization? *

Mark only one oval.

highly satisfied

satisfied

dissatisfied

highly dissatisfied

40. How often do you work over time? *

Mark only one oval.

always

Sometimes

Never

often

41. Do you agree that longer working hours can adversely affect your work
performance? *

Mark only one oval.

Strongly disagree

Disagree

Agree

Strongly agree

42. Do you worry about work or have work pressure even when you are not at work
or travelling to work? *

Mark only one oval.

Yes

No

Maybe

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

43. Do you suffer from any stress related diseases? *

Mark only one oval.

Yes

No

Maybe

44. Do you think you have good career prospects in this organization? *

Mark only one oval.

Yes

No

Maybe

45. What is the influence of career prospects on work performance? *

Mark only one oval.

Highly influential

Influential

Less influential

Not at all influential

46. Are you able to work effectively when you are stressed about work related
issues (eg: deadlines, targets etc)? *

Mark only one oval.

always

Sometimes

most of the times

never

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

47. Do you find it difficult to work effectively when you are unable to fulfil the needs
of family or worried about family issues? *

Mark only one oval.

Yes

No

partially

48. What is your topmost priority among the following? *

Check all that apply.

career
health
family
hobbies
friendship

49. Are you satisfied with the balance you maintain between the work and your
personal priority? *

Mark only one oval.

Highly satisfied

Satisfied

Dissatisfied

Highly dissatisfied

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10/29/2020 WORK LIFE BALANCE IN HEALTH SECTOR -A STUDY OF HOSPITALS IN JABALPUR DISTRICT

50. Which among the following do you think affects your productivity the most? *

Check all that apply.

Longer working hours

Increased stress
Inability to spend time with family/inability to fulfil needs of family
Lack of good career prospects
financial problems
Unhealthy relationship with colleagues /conflicts with colleagues

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 Forms

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