You will need to enter a code in order
to proceed. This code will link your responses to those of your family members,
while protecting your identity. In order to assure that all family members
enter the same code please use the following formula.
The first two letters of the commuter's
last name followed by the last four numbers of your primary home phone number.
Example: Commuter's last name: Andrews;
Home phone: 919-545-1212
Example Code : AN1212
Please enter your assigned
code.
Age:
Please list the age and gender of each
of your children in birth order.
Race/Ethnicity:
choose one of the following
African-American
Asian/Pacific Islander
Caucasian/White
Hispanic/Latino
Native American
Other
What is your current family status?
Choose one of the following
Married
Unmarried, cohbitating
Remarried
How long have you been in
this relationship?
choose one of the following Less than 1 year
1-3 years
3-5 years
5-10 years
10-15 years
More than 15 years
Please indicate the highest level
of education that you have completed:
choose one of the following
High School Diploma
One year or less of college
One to two years college
Associate's degree
Three to four years of college
Bachelor's degree
Some graduate school
Master's degree
Beyond master's degree
Are you currently employed outside of the
home?
If yes, what is your current
job title?
What is your spouse's current
occupation?
Please indicate your total family
income:
choose one of the following
under $15,000 per year
$15,001 to $30,000 per year
$30,001 to $50,000 per year
$50,001 to $75,000 per year
$75,001 to $100,000 per year
over $100,001 per year
Please mark the number that
indicates the extent to which you agree or disagree with the following statements.
10. My spouse would not attend a professional
function if it inconvenienced me/ our family.
11. My spouse's career has made him/her a
better spouse than he/she would have been otherwise.
12. Married professionals have the best of
two worlds; professional employment combined with a full family life.
13. My spouse's career has made him/her a
better parent than he/she otherwise would have been.
14. My spouse spends (spent) as much or more
actual time with our children as our non-commuting friends/colleagues.
15. My spouse views his/her work more as a
job that he/she enjoys than as a career.
16. My spouse's career is as important to
me as it is to my spouse.
17. My spouse is as career-oriented as his/her
colleagues.
18. I would recommend that any young person
contemplating a career complete his/her professional training before marriage.
19. In case of conflicting demands, a professional's
primary responsibilities are to his or her spouse and children.
20. It is possible for spouses to work in
separate cities to maximize career possibilities and have a successful marriage
at the same time.
21. If my were to receive an exceptional job
offer in another city (one that he/she wanted to accept), I would not accompanty
my spouse unless I was sure of a suitable position for myself.
22. My spouse would be a less fulfilled person
without the experience of family life.
23. If my spouse had to do it over again,
he/she would not have had any children.
24. My spouse would not work in his/her profession
if I did not approve.
25. If my spouse had to do it over again,
he/she would not have trained for his/her particular profession.
27. My spouse's career has suffered due to
the responsibilities he/she has (had) as a parent.
28. It is impossible in our present society
to combine a career, in the fullest sense of the term (uninterrupted, full-time
work with a high degree of commitment and desire for success) with the demands
of a family.
29. It's not okay for a male to commute for
work.
30. A woman needs to stay at home.
31. It is the man's job to provide for the
family.
32. You can't trust women away on travel.
33. It's okay for a female to commute for
work.
34. Raising children should be a woman's
full-time job.
35. You can't trust men away on travel.
36. Men and women are equally capable of raising
children.
Is your spouse commuting out of choice?
List the reasons for commuting:
1.
2.
3.
4.
5.
How long has your spouse been commuting?
Where does your spouse usually commute?
Does your spouse have the same destination
every time he/she travels?
If no, please explain:
On average, how long is your spouse
away from home due to commuting?
Days
per week
Other
Please mark the box that corresponds to how
frequently you interact with you partner in each category while he/she is away.
How often do you engage in the following activities
by yourself?
If you have children, how often do you engage
in the following activities with one or more of your children?
How often do you engage in the following activities
as a couple?
How often do you engage in the following activities
as a whole family?
Does your spouse have a deadline set to end
the commuting?
Does your spouse have a projected time for
reexamining the decision to commute?
If so, when?
What are some of the advantages of commuting
for your family?
1.
2.
3.
4.
5.
What are some of the disadvantages of commuting?
1.
2.
3.
4.
5.
Who does the domestic tasks? (Please fill
in, myself, my spouse, my child, or help).
Who takes care of the child-rearing responsibilities?
(Please fill in, myself, my spouse, my child, or help).
How does your spouse's re-entry affect the
family dynamics?
Rank the items in the list of priorities starting
with 1 being the most important and 7 being the least important.
Religion/Spirituality
Career Satisfaction
How do you maintain a balance between career
motivations and your role as a parent and a spouse?
What are some of your concerns for your relationship
with your spouse?
1.
2.
3.
4.
5.
Have there been incidents to cause concern
over infidelity?
On a scale of one to ten, rate the following
issues that increase your concern about infidelity (1=little to no concern,
10=greatly concerned.
Other
Have you ever discussed the issue
of infidelity with your spouse?
How frequently does the issue of infidelity
come up and how?
What helps your relationship survive the strain
of the commute?
1.
2.
3.
4.
5.
What are some of the strengths of your relationship?
1.
2.
3.
4.
5.
Many commuter couples find that upon reunion,
the needs to dedicate sometime to restore their sense of physical and emotional
closeness. What do you and your spouse do to re-establish intimacy?
Which of the following support
systems do you and your family use? Click all that apply, and which types
of support you receive from that group.
Does your spouse's company respond to your
families needs?
If yes, please offer an example.
Please check any of the following that apply
to your situation.
If you could advise Human Resources
personnel on how to respond to commuter employees, what recommendations would
ou give? (ie-what type of help do families need, and how can the company respond
to this need?)
1.
2.
3.
4.
5.
How is the commute explained to the children?
How do the children respond to the separations
and reunions? Do different children respond differently, and if so, how?
Do the children seem to exhibit any moods,
behaviors, or reactions as a result of the commuting?
How does your spouse maintain his/her relationship
with the children while he/she is away?
Who in the family faces the most difficulty
dealing with the commuting? Are there differences based on gender, age, personality,
or relationship with the commuter?
What is the one thing that you miss most while
your spouse is away?
Thank you for completing this
questionnaire. All of your answers will remain anonymous and confidential. Please
submit your answers by clicking the SUBMIT button.
