Demographic Questionnaire
Demographic Questionnaire
For each of the following questions, please fill in the blank or check the appropriate space. These
questions deal with different aspects of yourself, your job, and your living situation which may be
related to your experience with balancing your work and family life.
2. Marital Status:
___ Single, never married
___ Married
___ Separated
___ Divorced
___Widowed
____ 1 – 5 years
____ 6 – 10 years
____11- 15 years
____16 – 20 years
Strongly Disagree Disagree Neither agree nor disagree Agree Strongly Agree
1 2 3 4 5
1. My work schedule often conflicts with my family life. 1 2 3 4 5
2. After work, I come home too tired to do some of the
things I would like to do. 1 2 3 4 5
3. On the job I have so much work to do that it takes
away from my personal interests. 1 2 3 4 5
4. My family dislikes how often I am preoccupied with
my work while at home. 1 2 3 4 5
5. Because my work is so demanding, at times I am
irritable at home. 1 2 3 4 5
6. The demands of my job make it difficult to be
relaxed all the time at home. 1 2 3 4 5
7. My work takes up time that I would like to spend
with my family. 1 2 3 4 5
8. My job makes it difficult to be the kind of spouse
or parent I would like to be. 1 2 3 4 5
9. I have to put off doing things I like to do because of
work-related demands. 1 2 3 4 5
10. Due to work-related duties, I frequently have to
make changes to my personal plans. 1 2 3 4 5
11. The amount of time my job takes up makes it
difficult to fulfill family responsibilities. 1 2 3 4 5
12. My job produces strain that makes it difficult to
fulfill my personal obligations. 1 2 3 4 5
Organizational Commitment Questionnaire (OCQ)
Listed below are a series of statements that represent possible feelings that individuals might have about the
organization for which they work. With respect to your own feelings about the particular school for which
you are now working please indicate the degree of your agreement or disagreement with each statement by
circling one of the seven alternatives below each statement.
Strongly Moderately Slightly Neutral Slightly Moderately Strongly
Disagree Disagree Disagree Agree Agree Agree
1 2 3 4 5 6 7
1. I am willing to put in a great deal
of effort beyond that normally expected
in order to help this organization be successful. 1 2 3 4 5 6 7
2. I talk up this organization to my friends as
a great organization to work for. 1 2 3 4 5 6 7
3 I feel very little loyalty to this organization. 1 2 3 4 5 6 7
4. I would accept almost any type of job
assignment in order to keep working for
this organization. 1 2 3 4 5 6 7
5. I find that my values and the organization’s
values are very similar. 1 2 3 4 5 6 7
6. I am proud to tell others that I am part of
this organization. 1 2 3 4 5 6 7
7. I could just as well be working for a different
organization as long as the type of work were
similar. 1 2 3 4 5 6 7
8. This organization really inspires the best in me
in the way of job performance. 1 2 3 4 5 6 7
9. It would take very little change in my present
circumstances to cause me to leave this organization.1 2 3 4 5 6 7
10. I am extremely glad I chose this organization
to work for over others I was considering at
the time I joined. 1 2 3 4 5 6 7
11. There’s not much to be gained by sticking with
this organization indefinitely. 1 2 3 4 5 6 7
12. Often, I find it difficult to agree with this
organization’s policies on important matters
relating to its employees. 1 2 3 4 5 6 7
13. I really care about the fate of this organization. 1 2 3 4 5 6 7