Balanced Achiever Assessment

Name:
How many hours do you work each week? (Include all hours in or out of office)
>60
50-60
40-50
30-40
<30
How often do you skip eating lunch or eat lunch at your desk?
Everyday
2-3 Times/Week
Occasionally
Never
You have a time management plan and use it.
Never
Rarely
Sometimes
Often
Always
You work so much that it has negatively influenced your health.
Never
Rarely
Sometimes
Often
Always
You spend enough time with your spouse and family.
Never
Rarely
Sometimes
Often
Always
When you feel stressed, depressed, or helpless you work more.
Never
Rarely
Sometimes
Often
Always
You tend to involve your spouse in your personal development.
Never
Rarely
Sometimes
Often
Always
If you had more time, you would spend it working.
Never
Rarely
Sometimes
Often
Always
I am fully present at home.
Never
Rarely
Sometimes
Often
Always
You check/answer email, texts, social media posts, or work related phone calls after hours.
Never
Rarely
Sometimes
Often
Always
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