Work Life Balance Survey

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0

Name
0

Department
0

Rate the satisfaction of your following job factors:
(Very dissatisfied) 1 - - 2 - - 3 - - 4 - - 5 (Very satisfied)

Working hours

1

2

3

4

5

Job scope

1

2

3

4

5

Salary

1

2

3

4

5

Overtime pay

1

2

3

4

5

Medical benefits

1

2

3

4

5

Leave/time-off benefits

1

2

3

4

5
0

How long have you been employed here?
0

How satisfied are you with your current work-life balance?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How well are you coping with the workload assigned to you?
Not at all

Slightly

Moderately

Very much

Extremely
0

Is stress in your workplace affecting your personal life?
Yes

No

Somewhat
0

How often do you work overtime?
Never

Rarely

Monthly

Weekly

Daily
0

How much time do you spend on leisure activities everyday?
No time

<15 minutes

15 minutes-1 hour

1-2 hours

> 2 hours
0

What leisure activities do you participate in? Please list them below.

0 / 5000
0

How often do you need to de-stress?
Never

Rarely

Monthly

Weekly

Daily
0

How do you usually de-stress? Check all that apply
Binge eating

Drinking

Smoking

Meditating

Gaming

Social media

Mobile phone

Other (Please specify)
0

How much time are you able to spend with your family/loved ones everyday?
No time

<15 minutes

15 minutes-1 hour

1-2 hours

> 2 hours
0

What can be done to improve your work/life balance? Please comment below.

0 / 5000

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0

Name
0

Department
0

Rate the satisfaction of your following job factors:
(Very dissatisfied) 1 - - 2 - - 3 - - 4 - - 5 (Very satisfied)

Working hours

1

2

3

4

5

Job scope

1

2

3

4

5

Salary

1

2

3

4

5

Overtime pay

1

2

3

4

5

Medical benefits

1

2

3

4

5

Leave/time-off benefits

1

2

3

4

5
0

How long have you been employed here?
0

How satisfied are you with your current work-life balance?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How well are you coping with the workload assigned to you?
Not at all

Slightly

Moderately

Very much

Extremely
0

Is stress in your workplace affecting your personal life?
Yes

No

Somewhat
0

How often do you work overtime?
Never

Rarely

Monthly

Weekly

Daily
0

How much time do you spend on leisure activities everyday?
No time

<15 minutes

15 minutes-1 hour

1-2 hours

> 2 hours
0

What leisure activities do you participate in? Please list them below.

0 / 5000
0

How often do you need to de-stress?
Never

Rarely

Monthly

Weekly

Daily
0

How do you usually de-stress? Check all that apply
Binge eating

Drinking

Smoking

Meditating

Gaming

Social media

Mobile phone

Other (Please specify)
0

How much time are you able to spend with your family/loved ones everyday?
No time

<15 minutes

15 minutes-1 hour

1-2 hours

> 2 hours
0

What can be done to improve your work/life balance? Please comment below.

0 / 5000