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What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
18-29 years old
 
30-49 years old
 
50-64 years old
 
65 years and over
 
 
 
What is the highest level of education you have completed?
 
Some high school
 
High school graduate
 
Some college
 
Trade/technical/vocational training
 
College graduate
 
Some postgraduate work
 
Post graduate degree
 
 
 
What is your current employment status?
 
Full time
 
Part time
 
Not employed
 
Retired
 
 
 
What is your marital status?
 
Single/never been married
 
Engaged
 
Married
 
Separated
 
Divorced
 
Widowed
 
 
 
Do you have children?
 
Yes
 
No
 
Expecting
 
 
 
On average, how many hours a week do you work?
 
Less than 20 hours
 
20-36 hours
 
37-50 hours
 
51-65 hours
 
Greater than 65 hours
 
 
 
Work-life balance is defined as having enough time for work as well as life activities that include, but are not limited to, family, volunteer work, church activities, and personal time. Using the scale below where 0 signifies no work-life balance and 5 signifies complete work-life balance, how would you rate your current status of work-life balance?
 
0
 
1
 
2
 
3
 
4
 
5
 
 
 
Using the scale below where 0 signifies work hours are not excessive and 5 signifies excessive work hours, how would you rate your current work hours?
 
0
 
1
 
2
 
3
 
4
 
5
 
 
 
Using the scale below where 0 signifies no support for work-life balance and 5 signifies full support from your employer for achieving work-life balance, how would you rate the current amount of support you receive from your employer regarding work-life balance, as defined in question 8?
 
0
 
1
 
2
 
3
 
4
 
5
 
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