1. How many hours do you typically work per week?
2. How often do you work night shifts?
☐ Never ☐ Occasionally ☐ Sometimes ☐ Often ☐ Always
3. Do extended working hours affect your ability to spend time with family?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly disagree
4. How satisfied are you with your current work schedule?
☐ Very satisfied ☐ Satisfied ☐ Neutral ☐ Dissatisfied ☐ Very dissatisfied\
5.I am able to balance my professional and personal life
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
6 .My work-life balance positively affects my job satisfaction
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
[Link] work-life balance reduces my motivation at work
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
8 . Do you feel that work-life balance influences the quality of patient care you provide?
☐yes
☐No
☐Sometimes
9 .How often do you feel emotionally exhausted due to work?10
☐Daily
☐Weekly
☐Occasiinally
☐Rarely
☐Never
10.I feel detached or less empathetic toward patients because of work stress.
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
11.I often experience reduced performance due to fatique or stress
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
[Link] do you think are the main cause of burnout in your life?
[Link] you aware of hospital initiatives(e.g., counselling, flexible shifts, wellness programs) to
support work-life balance?
☐yes
☐No
☐Not sure
14 .How effective do you find these initatives?
☐ Very effective
☐ Effective
☐Neutral
☐ Ineffective
☐ Very ineffective
15 . The hospital's leave policies support my personal and family commitments.
☐Strongly Agree
☐Agree
☐Neutral
☐Disagree
☐Strongly Disagree
16. What additional support would you like from pushpagiri hospital to improve work-life
balance?