Work-Life Balance Survey

Work-Life Balance Survey — Form Fields

This surveys template includes 9 fields. Assess employee perceptions of work-life balance, workload, and boundary-setting at your organization. Free to customize and use on ZenBuild.

• What is your employment type? (dropdown selection, required) — options: Full-time, Part-time, Contract / freelance, Intern
• How satisfied are you with your current work-life balance? (rating, required)
• How often do you work beyond your scheduled hours? (multiple choice, required) — options: Daily, Several times a week, About once a week, Occasionally, Rarely or never
• How often do work responsibilities interfere with your personal or family time? (multiple choice, required) — options: Very often, Often, Sometimes, Rarely, Never
• How well does your manager respect your time outside of working hours? (rating, required)
• Which of the following contribute most to work-life imbalance for you? (Select all that apply) (checkboxes, optional) — options: Excessive workload, Unclear boundaries between work and personal time, Frequent after-hours messages or emails, Long commute, Insufficient paid time off, Lack of flexibility in schedule, None — I have a good balance
• Does the organization actively encourage employees to take time off and disconnect? (multiple choice, required) — options: Yes, strongly, Somewhat, Not really, No, the culture discourages it
• Overall, how sustainable do you feel your current workload is long-term? (rating, required)
• What changes would most improve your work-life balance at this organization? (long text, optional)