Académique Documents
Professionnel Documents
Culture Documents
NAME *
ORGANIZATION *
DESIGNATION *
• Male
• Female
• 16 - 25 years
• 26 - 35 years
• 36 - 45 years
• 46 - 55 years
• 55+
• Casual
• Other:
4. How well do your current working hours suit your current work family balance? *
• Extremely well
• Moderately well
• Not at all
• Unsure
• Other:
• Yes, Go to question 6
1 2 3
Infants(0-2) years
pre-schoolers(3-5) years
7. During the past year have you had to take time off to provide any of the following support
services for dependent children?Please tick all that apply
• Care for sick or infectious child
• Parent/Teacher interviews
• Other:
• Yes , Go to Question 9
1 2 3 4 5
Disability
Has a serious
illness
Aged
10. During the past year have you provided any of the following support services for adult
childern?Please tick all that apply
• Arranging appointments
• Preparing meals
• Other:
11. During the past year has your personal workload or environment been affeted by the family
care responsibility of another workmate?
• No effect
• Major impact
• Minor impact
12. During the past year has your work been affected by your family responsibilities?
• No ,Go to Question 15
• Unsure
13. If so, how has your work been affected by your family responsibilities? *Please tick all that
apply
• No effect on work
• Considering resigning
• Other:
14. Does your organisation currently have a written work and family policy?
• Yes
• No
• Don't Know
15. If yes, do you think it is easy to understand how this policy can be used to assist staff to
balance their work and family responsibilities?
• Yes
• No
• Unsure
16. Are you familiar with the processes involved in taking up your organizations current flexible
work arrangements to help you balance your work and family responsibilities? *
• Yes
• No
• Unsure
17. Depending on the organisation’s structure, there are a range of work and family
arrangements that can be offered.please indicatethe work and family arrangements listed below
that you are using or have used in the last year to assist you with balancing your work with your
family responsibilities? *Please tick all that apply
• Part-time work
• Job share
• Carers leave
• Parental leave
• Lactation leave
• Bereavement leave
• Cultural/religious leave
• Other:
18. Do you know where you would go to find out more about flexible work and family options
within your organization?
• Yes
• No
• Unsure
19. In addition to the arrangements that you currently use, which of the following additional
arrangements/facilities would assist you with balancing work and family responsibilities,if they
were made available to you at your workplace? *Please note that some of these may be more
appropriate to your workplace,tick all the boxes that apply.
• Part-time work
• Job share
• Carers leave
• Parental leave
• Lactation leave
• Banking or rostered days off
• Bereavement leave
• Cultural/religious leave
• Other:
20. What do you think about work and family balance in your organisation? *Tick the box which
applies
Strongly Strongly
Disagree Neutral Agree
Disagree Agree
organization is
supportive of staff
who need leave for
family
Expectations of this
company impacts
on family
responsibilities
organisation is
prepared to be
responsive to
family needs
21. What is the most helpful way that your organisation has already assisted you with your work
and family balance?Please comment in the space below
22. Can you think of additional ways that your organisation can assist with better work and
family balance responsibilities?Please comment in the space below
23. Is there anything else you would like to comment on about work and family balance in your
organization?Please comment in the space below
Submit
Bottom of Form
Powered by Google DocsReport Abuse - Terms of Service - Additional Terms