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?
