Fathers and paid work - sample questionnaire
Introduction
(You may want some sort of endorsement from a CEO or manager to increase
confidence that this issue matters.)
We are keen to explore whether there are any particular issues for men with
fathering responsibilities within this organisation. We want to find out what we
are doing well to assist fathers balance their work and family life, and how we
could improve. Your answers are confidential. Please return this questionnaire
to:………………………………..by …………………
Thank you for your help.
(Signed)
Section 1: Demographic information
1. How old are you?
Under 30 years
31-40 years
Over 40 years
2. How many children do you have?
1
2
3
4
5
more than 5
3. How old are your children?
Under 2 years
2-5 years
6-10 years
11-14
15-18
over 18 years
4. Do any of your children have a disability or special needs?
Yes
No