SCALE: 1 = sometimes 2 = rarely 3 = never 4 = often 5 = always

During the past 12 months, how often have you had trouble going to sleep or staying asleep?

1

2

3

4

5

How often do you work at home as part of your job?

1

2

3

4

5

How often do the demands of your job interfere with your family life?

1

2

3

4

5

How often find it difficult to cope at your work?

1

2

3

4

5

How often do you have to give up breaks because of workloads?

1

2

3

4

5

How often do you interrupt your work because of work related inquiries, calls, etc.?

1

2

3

4

5

How often do you to stretch your working day to get all the work done?

1

2

3

4

5

How often do you work extra hours beyond your usual schedule?

1

2

3

4

5

How hard is it to take time off during your work to take care of personal or family matters?

1

2

3

4

5

FRINGE BENEFITS SCALE: YES/NO

Does your organisation provide conveyance, tour, travel (including foreign travel) for official purpose?

YES

NO

Does your organisation provide facility of hotel, boarding and lodging for official purpose?

YES

NO

Does your organisation provide you paid holidays?

YES

NO

Does your organisation provide transport facility?

YES

NO

Does your organisation provide Expenditure on employee’s welfare?

YES

NO

Does your organisation provide Medical expenses < Rs. 15,000?

YES

NO

Does your organisation provide Contribution by the employer to an approved superannuation fund?

YES

NO

Does your organisation provide use of telephone (including mobile phone) other than expenditure on leased telephone lines?

YES

NO

Does your organisation provide Facility of interest-free or concessional housing loan?

YES

NO

Does your organisation provide Facility of interest-free or concessional personal loan?

YES

NO

Does your organisation provide house rent allowance?

YES

NO

Does your organisation provide gratuity or provident fund?

YES

NO