Work-Life Balance Assessment Survey

Work-Life Balance Assessment Survey — Form Fields

This surveys template includes 7 fields. Assess employee work-life balance perceptions and organizational support levels. Free to customize and use on ZenBuild.

• Job Type (dropdown selection, required) — options: Full-Time Employee, Part-Time Employee, Contractor, Self-Employed
• Weekly Hours Worked (dropdown selection, required) — options: Under 35, 35-40, 41-50, 51-60, 60+
• Current Work-Life Balance Quality (rating, required)
• Do You Often Work Outside Normal Hours? (multiple choice, required) — options: Yes, Sometimes, Rarely, No
• Work-Life Imbalance Causes (checkboxes, optional) — options: Heavy Workload, Culture of Overwork, Unclear Boundaries, Childcare, Long Commute, Financial Pressure
• Does Your Employer Support Work-Life Balance? (multiple choice, required) — options: Yes, Somewhat, No
• What Would Most Improve Your Balance? (long text, optional)