1. How much do you work a week?

2. How often do you work weekends and holidays?

3. Are you satisfied with your work life?

4. How often are you distracted by "home things" at work?

5. How productive do you feel at work?

6. How much sleep do you usually get each night?

7. How well do you usually sleep?

8. Do you spend the kind of time you want to with your children?

9. How much time do you devote alone to childcare every day?

10. Do you spend the kind of time you want to with your spouse/partner?

11. How much time a week do you spend on other family obligations?

12. Are you satisfied with your home/family life?

13. How much personal free time do you have a day?

14. Do you spend the kind of time you want to with your friends?

15. How much time a week do you spend on hobbies?

16. How often are you distracted by "work things" at home?

17. Do you have an enjoyable daily routine?

18. How much stress does work cause you?

19. How often do you wish you had "more time"?

20. Are you eating as healthy as you would like to?