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Employee Work-Life Balance Assessment
Measures how well employees are able to separate work from personal life, where the biggest pressure points come from (workload, schedule unpredictability, always-on culture), and how supported they feel by managers. The AI follow-up digs into the single most disruptive factor each person names, surfacing a concrete recent example instead of a vague complaint.
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Employee Work-Life Balance Assessment
Thanks for taking a few minutes for this check-in on work-life balance. Your honest answers help us fix real problems, not just track a score. About 5-6 minutes, and individual responses stay confidential.
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デフォルト テーマ。色とフォントは自由に変更できます。
設問の例
テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。
全12問・約7分
Q01
選択式必須
In the last 30 days, how often did you work outside your scheduled hours (evenings, weekends, or on days off)?
- Never
- Rarely (1-2 times)
- Sometimes (about weekly)
- Often (several times a week)
- Almost always
Q02
オピニオンスケール必須
Overall, how satisfied are you with your current work-life balance?
スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q03
マトリクス必須
How much do you agree with each statement about your day-to-day work?
5行 × 5列
- I can disconnect from work messages during personal time without guilt
- My workload is manageable within my scheduled hours
- My manager respects my time off
- I feel comfortable taking time off when I need it
- My schedule is predictable enough to plan my personal life
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
ベスト・ワースト選択（MaxDiff）必須
Which of these has the biggest effect on your work-life balance, and which has the least?
- Total volume of work
- Unpredictable schedule or last-minute changes
- Always-on messaging culture
- Limited or hard-to-use paid time off
- Commute or location demands
- Caregiving or family responsibilities
- Unclear expectations from leadership
各セットで最も良いもの・最も悪いものを選択最も良い:Biggest effect最も悪い:Least effect
Q05
スライダーマトリクス必須
How much control do you feel you have over each of the following?
4行（各行にスライダー1つ）
- Your daily schedule
- Your total workload
- Where you work from
- When you take time off
スライダー 0〜10最小:No control最大:Full control
Q06
数値
On average, how many hours do you work in a typical week, including any work done outside scheduled hours?
Q07
選択式必須
Have you used all of your available paid time off in the last 12 months?
- Yes, all of it
- Used most of it
- Used about half
- Used very little or none
- I don't have paid time off
Q08
AIインタビュー
Ask the respondent to walk through the factor they rated as having the biggest effect on their work-life balance in the previous ranking question, anchored to a specific recent week or incident, not a generalization. Probe what actually happened, what they tried to do about it, and whether their manager or team was aware. If they describe the always-on culture or unpredictable schedule, ask what a realistic fix would look like for their role specifically.
Q09
オピニオンスケール必須
How likely are you to tell a friend that this is a place where they can maintain a healthy work-life balance?
スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q10
選択式
Which best describes your role level?
- Individual contributor
- Team lead / supervisor
- Manager
- Senior leader / executive
- Prefer not to say
Q11
選択式
How long have you been with the organization?
- Less than 1 year
- 1-3 years
- 4-7 years
- 8+ years
- Prefer not to say
Q12
選択式
What is your primary work arrangement?
- Fully on-site
- Hybrid
- Fully remote
- Prefer not to say
メッセージ
That's everything - thank you for your honesty. Responses are aggregated to identify the biggest drivers of overwork and will guide changes to workload, scheduling, and time-off policies.
含まれる機能
AIによる深掘り
自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。
注意確認設問
急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。
AIが作成する設問文
文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。
自動レポート
回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。
他ツールとの比較
ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。
このテンプレートを選ぶ理由
- Goes beyond static rating questions with an AI follow-up interview that digs into whichever factor (workload, unpredictable schedule, always-on culture, etc.) each respondent flags as most disruptive, asking them to walk through a concrete recent example instead of leaving it as a vague complaint.
- Combines quantitative measures (opinion scale on satisfaction, numeric hours worked, matrix and slider-matrix on control/agreement, max-diff to force-rank pressure points) with open-ended probing in a single flow, so you get both the 'what' and the 'why'.
- Includes context questions on PTO usage, role level, tenure, and work arrangement so pressure points can be segmented by who's actually experiencing them.
- Transparent prompts and automated per-response quality scoring mean you can see exactly what the AI asked and trust that low-effort or contradictory responses are flagged before they hit your report.
Jotform
Work Life Balance Survey Form TemplateA fielding-ready static form template covering standard work-life balance questions. It's built on Jotform's general-purpose form builder, so it's easy to customize fields and branding, but it stops at collecting answers rather than exploring them.
優れている点
- Fielding-ready out of the box
- Easy drag-and-drop customization typical of Jotform's builder
- Can integrate with Jotform's broader form/workflow ecosystem
物足りない点
- No adaptive follow-up questioning — respondents can't be probed for specifics behind a vague answer
- No voice interview option
- No automated per-response quality scoring or published prompt methodology
SurveyMonkey
Work Life Balance Survey Template & QuestionsA ready-to-use survey template with pre-written questions on work-life balance, backed by SurveyMonkey's established analytics and benchmarking tools. It's a solid standard questionnaire but relies on fixed question sets rather than dynamic probing.
優れている点
- Pre-written, fielding-ready question set
- Mature analytics/reporting dashboard
- Wide familiarity among respondents and admins
物足りない点
- No AI-driven follow-up that adapts to each respondent's stated biggest pressure point
- No guided task or screen-share capability
- No transparent, inspectable AI prompts since there's no AI interview component
Typeform
Employee Work Life Balance Survey TemplateA conversational-style, fielding-ready template that uses Typeform's one-question-at-a-time format to make the survey feel more personal. Question flow can include basic logic jumps, but there's no true adaptive AI interviewing that generates a new question based on open-text content.
優れている点
- Polished, conversational respondent experience
- Fielding-ready with minimal setup
- Supports basic conditional logic between questions
物足りない点
- Logic jumps are pre-set, not generated live from what the respondent actually says
- No voice AI interview option
- No automated quality scoring of individual responses
よくあるご質問
「Employee Work-Life Balance Assessment」テンプレートにはどのような設問が含まれていますか？
すぐに使える設問が12問含まれており、最初の設問は次のとおりです：「In the last 30 days, how often did you work outside your scheduled hours (evenings, weekends, or on days off)?」・「Overall, how satisfied are you with your current work-life balance?」・「How much do you agree with each statement about your day-to-day work?」。すべての設問は上でプレビューでき、自由に編集できます。
このアンケートの回答にはどのくらい時間がかかりますか？
回答者は通常、12問を約7分で回答し終えます。
テンプレートは編集できますか？
はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。
このテンプレートは無料で使えますか？
はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。
公開の準備はできましたか？
このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。
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