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AAWP Work/Life Balance Survey
1.
Your Information:
Name:
Email Address:
2.
Age Group:
(Required.)
18-25
26-34
35-42
43-50
51-58
59-67
68+
Prefer Not to Answer
3.
How concerned are you about the following issues?
(Required.)
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Personal Debt
Very Concerned
Somewhat Concerned
Not Concerned
N/A
National Debt
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Retirement
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Health Insurance
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Gas Prices
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Too Much Government
Very Concerned
Somewhat Concerned
Not Concerned
N/A
Why are you concerned (or not) about these issues?
4.
Which of the following would help make your life better?
(Required.)
Lower taxes
Free or affordable healthcare
More debt relief programs
Regulated gas prices
Better Job Assistance Programs
Affordable student loan assistance
Other (please specify)
5.
What is the most important issue to you as a working person?
(Required.)
6.
Regarding your work/life balance, please rank these statements as they best apply to you:
(Required.)
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
I spend too much time at work
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
I wish I had more time with my family (or friends)
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
My job demands too much of me
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
I am expected to be available for work related issues while on vacation/during my time off
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
I wish I could put in more hours at work
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
My quality time at home is often interrupted by work
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
I am always exhausted when I get home from work
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
N/A
7.
Do you feel like your work life and your personal life are equally balanced?
(Required.)
Yes
No
I Don't Know
Why or Why Not?
8.
What type of benefits would you like to see AAWP provide?
(Required.)
Discounts
Education
Networking
Magazine/Newsletter
Lobby for Government Changes
Local Groups for Civic Involvement
Other (please specify)
9.
What is the most important lesson you would like to pass on to younger generations?
(Required.)
Money management
Self-Reliance
Importance of Education
Other (please specify)