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 30-40 years
40-50 years >50

2. Compensation(salary) received per month

Rs.5000-10,000 Rs.10,000-20,000
Rs.20,000- 30,000 >Rs.30,000

3. Experience in years
0-5 years 5-10 years
10-20 years >20 years

4. Education
ANM GNM
B.Sc Nursing M.Sc Nursing

5. Size of family members

0-3 3-6
6-10 >10

6. Travelling Time
<30 minutes 30-60 minutes
60-120 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 Sometimes Neutral

Rarely Never

8. What is the duration of time you spent at work place?

4-6 hours 8-10 hours >12 hours

6-8 hours 10-12 hours

9. Do you bring frequently office work to home?

Frequently Sometimes Neutral

Rarely Never

10. Do you worry about work when not in work place

Highly Sometimes Neutral

Rarely Never

11. Do you bring office work to home, without spending time with the family?

Frequently Sometimes Neutral

Rarely Never

12. Do you feel reluctant or tired mentally due to office work pressure?
Frequently Sometimes Neutral
Rarely Never

13. Do your family support for the work and time spent with the family?

Frequently Sometimes Neutral

Rarely Never

14. Do you able to spend quality time with your dear ones?

Frequently Sometimes Neutral

Rarely Never

15. Are you happy with the present job?

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 Completely happy Not happy Neutral
Happy Completely not
happy

16. Do you enjoy works which are doing at work places?

Completely Sometimes Neutral

Rarely Never

17. Do you able to get time to attend social functions?

Frequently Sometimes Neutral

Rarely Never

18. Do you manage time for physical exercise?

Frequently Sometimes Neutral
Rarely Never

19. Do you able to give time for self?

Completely Sometimes Neutral

Rarely Never

20. Do you get maternity/ paternity leave?

Completely Sometimes Neutral
Rarely Never

21. Do you get motivation from immediate supervisor?

Frequently Sometimes Neutral

Rarely Never

22. Do you have scope for flexibility of time?

Complete Sometimes Neutral
Rarely Never

23. Do your hospitals give recognition and reward for better performance?
Always Sometimes Neutral
Rarely Never

Thanking you for your valuable support and time

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