AAWP Work/Life Balance Survey

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1. Your Information:

Name:

Email Address:

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2. Age Group:

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3. How concerned are you about the following issues?

	Very Concerned	Somewhat Concerned	Not Concerned	N/A
Personal Debt	Personal Debt Very Concerned	Personal Debt Somewhat Concerned	Personal Debt Not Concerned	Personal Debt N/A
National Debt	National Debt Very Concerned	National Debt Somewhat Concerned	National Debt Not Concerned	National Debt N/A
Retirement	Retirement Very Concerned	Retirement Somewhat Concerned	Retirement Not Concerned	Retirement N/A
Health Insurance	Health Insurance Very Concerned	Health Insurance Somewhat Concerned	Health Insurance Not Concerned	Health Insurance N/A
Gas Prices	Gas Prices Very Concerned	Gas Prices Somewhat Concerned	Gas Prices Not Concerned	Gas Prices N/A
Too Much Government	Too Much Government Very Concerned	Too Much Government Somewhat Concerned	Too Much Government Not Concerned	Too Much Government N/A

Why are you concerned (or not) about these issues?

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4. Which of the following would help make your life better?

Lower taxes

Free or affordable healthcare

More debt relief programs

Regulated gas prices

Better Job Assistance Programs

Affordable student loan assistance

Other (please specify)

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5. What is the most important issue to you as a working person?

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6. Regarding your work/life balance, please rank these statements as they best apply to you:

	Strongly Agree	Agree	Neither Agree Nor Disagree	Disagree	Strongly Disagree	N/A
I spend too much time at work	I spend too much time at work Strongly Agree	I spend too much time at work Agree	I spend too much time at work Neither Agree Nor Disagree	I spend too much time at work Disagree	I spend too much time at work Strongly Disagree	I spend too much time at work N/A
I wish I had more time with my family (or friends)	I wish I had more time with my family (or friends) Strongly Agree	I wish I had more time with my family (or friends) Agree	I wish I had more time with my family (or friends) Neither Agree Nor Disagree	I wish I had more time with my family (or friends) Disagree	I wish I had more time with my family (or friends) Strongly Disagree	I wish I had more time with my family (or friends) N/A
My job demands too much of me	My job demands too much of me Strongly Agree	My job demands too much of me Agree	My job demands too much of me Neither Agree Nor Disagree	My job demands too much of me Disagree	My job demands too much of me Strongly Disagree	My job demands too much of me N/A
I am expected to be available for work related issues while on vacation/during my time off	I am expected to be available for work related issues while on vacation/during my time off Strongly Agree	I am expected to be available for work related issues while on vacation/during my time off Agree	I am expected to be available for work related issues while on vacation/during my time off Neither Agree Nor Disagree	I am expected to be available for work related issues while on vacation/during my time off Disagree	I am expected to be available for work related issues while on vacation/during my time off Strongly Disagree	I am expected to be available for work related issues while on vacation/during my time off N/A
I wish I could put in more hours at work	I wish I could put in more hours at work Strongly Agree	I wish I could put in more hours at work Agree	I wish I could put in more hours at work Neither Agree Nor Disagree	I wish I could put in more hours at work Disagree	I wish I could put in more hours at work Strongly Disagree	I wish I could put in more hours at work N/A
My quality time at home is often interrupted by work	My quality time at home is often interrupted by work Strongly Agree	My quality time at home is often interrupted by work Agree	My quality time at home is often interrupted by work Neither Agree Nor Disagree	My quality time at home is often interrupted by work Disagree	My quality time at home is often interrupted by work Strongly Disagree	My quality time at home is often interrupted by work N/A
I am always exhausted when I get home from work	I am always exhausted when I get home from work Strongly Agree	I am always exhausted when I get home from work Agree	I am always exhausted when I get home from work Neither Agree Nor Disagree	I am always exhausted when I get home from work Disagree	I am always exhausted when I get home from work Strongly Disagree	I am always exhausted when I get home from work N/A

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7. Do you feel like your work life and your personal life are equally balanced?

Yes

I Don't Know

Why or Why Not?

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8. What type of benefits would you like to see AAWP provide?

Discounts

Education

Networking

Magazine/Newsletter

Lobby for Government Changes

Local Groups for Civic Involvement

Other (please specify)

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9. What is the most important lesson you would like to pass on to younger generations?

Money management

Self-Reliance

Importance of Education

Other (please specify)