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Questionnaire template

Work-Life Balance

Employee survey on current work-life balance, the work factors that strain it, and changes that would help.

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Human Resources · Employee. All Human Resources templates

Questions in this template

Your Current Balance

  1. We want to support a healthy balance between work and the rest of life. Your answers will help us decide what to change.

  2. How would you rate the balance between your work and your personal life at the moment?

    Choose one:

    • Very poor
    • Poor
    • Average
    • Good
    • Excellent

  3. How much do you agree with each statement?

    • I have enough time for my family and personal life.
    • My job gets in the way of my life outside work.
    • Life outside work leaves me with enough energy for my job.

    For each row: choose one:

    • Strongly disagree
    • Disagree
    • Neutral
    • Agree
    • Strongly agree

What Affects Your Balance

  1. Which of these make it harder for you to balance work and personal life? Select all that apply.

    Choose any that apply:

    • Long hours
    • Stressful work
    • Being expected to be reachable at all times
    • Heavy workload or fast pace
    • Work travel
    • None of these

  2. Could you describe a time when work cut into your personal life?

    Condition: Only asked when at least one strain was selected

    Open answer

Looking Ahead

  1. Do you think a better balance between work and personal life would improve how you perform at work?

    Choose one:

    • Yes
    • No
    • Maybe

  2. Why do you think so? (optional)

    Condition: Only asked after the previous question is answered

    Open answer

  3. What could the organisation do to help you balance work and personal life better?

    Open answer