Questionnaire “A Comparative Study on Work-Life Balance of Nursing Staff Working in Private and Government Hospitals” (With special reference to selected Hospitals in Odisha)
Socio Economic Profile 1. Age group: 20-30 years 40-50 years
30-40 years >50
2. Compensation(salary) received per month Rs.5000-10,000 Rs.20,000- 30,000
Rs.10,000-20,000 >Rs.30,000
3. Experience in years 0-5 years 10-20 years
5-10 years >20 years
4. Education ANM B.Sc Nursing
GNM M.Sc Nursing
5. Size of family members 0-3 6-10
3-6 >10
6. Travelling Time <30 minutes 60-120 minutes
30-60 minutes >120 minutes
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General Perception towards personal and professional variables 7. Do you able to balance work and personal obligations? Frequently Rarely
Sometimes Never
Neutral
8. What is the duration of time you spent at work place? 4-6 hours 6-8 hours
8-10 hours 10-12 hours
>12 hours
9. Do you bring frequently office work to home? Frequently Rarely
Sometimes Never
Neutral
10. Do you worry about work when not in work place Highly Rarely
Sometimes Never
Neutral
11. Do you bring office work to home, without spending time with the family? Frequently Rarely
Sometimes Never
12. Do you feel reluctant or tired mentally due to office work pressure? Frequently Sometimes Rarely Never
Neutral
Neutral
13. Do your family support for the work and time spent with the family? Frequently Rarely
Sometimes Never
Neutral
14. Do you able to spend quality time with your dear ones? Frequently Rarely
Sometimes Never
15. Are you happy with the present job? xiii
Neutral
Completely happy Happy
Not happy Completely happy
Neutral not
16. Do you enjoy works which are doing at work places? Completely Rarely
Sometimes Never
Neutral
17. Do you able to get time to attend social functions? Frequently Rarely
Sometimes Never
18. Do you manage time for physical exercise? Frequently Sometimes Rarely Never
Neutral
Neutral
19. Do you able to give time for self? Completely Rarely
Sometimes Never
20. Do you get maternity/ paternity leave? Completely Sometimes Rarely Never
Neutral
Neutral
21. Do you get motivation from immediate supervisor? Frequently Rarely
Sometimes Never
22. Do you have scope for flexibility of time? Complete Sometimes Rarely Never
Neutral
Neutral
23. Do your hospitals give recognition and reward for better performance? Always Sometimes Neutral Rarely Never
Thanking you for your valuable support and time xiv