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Preparing to return to the workplace

Survey Section Factor Question Text Scale


Return Readiness Outcome I am confident that my transition back to the workplace will be straightforward Agreement
Return Readiness Outcome I am confident I can make an effective transition back to the workplace Agreement
Return Readiness Outcome I am looking forward to returning to the workplace Agreement
Return Readiness Outcome I will feel safe being in the workplace when COVID-19 restrictions are lifted Agreement
Support Support I am able to transition back to the workplace with minimal disruption to my usual routine/personal life Agreement
Support Support I am able to manage any caring responsibilities while transitioning back to work (e.g. child care, looking after Agreement
dependents)
Support Support I feel confident that I would receive support from coworkers if I needed it Agreement
Wellbeing Wellbeing I am feeling energized about returning to the workplace Agreement
Wellbeing Wellbeing I believe I will be treated fairly by my coworkers as I transition back to the workplace Agreement
Wellbeing Wellbeing I feel confident that any changes to my personal circumstances will not impact my ability to do my job effectively Agreement
Wellbeing Employee Assistance I know how to access %ACCOUNT_NAME%'s Employee Assistance Program [other employee support Agreement
program]
Wellbeing Employee Assistance I believe %ACCOUNT_NAME%'s Employee Assistance Program [other employee support program] will meet Agreement
any needs I may have
Wellbeing Wellbeing I have been able to maintain my physical health during COVID-19 Agreement
Safety Travel I would feel safe traveling to the workplace when COVID-19 restrictions are lifted Agreement
Safety Travel I would feel comfortable traveling for work related purposes (e.g. attending offsite meetings) when COVID-19 Agreement
restrictions are lifted
Safety Safety Measures I would like %ACCOUNT_NAME% to implement more safety measures as we return to the workplace (If so, Agreement
please tell us what safety measures you would like to see)
Safety Safety Measures I would feel safe using %ACCOUNT_NAME%'s workplace facilities (e.g. gym, cafeteria, social areas) when Agreement
COVID-19 restrictions are lifted
Safety Safety Measures I would like to maintain social distancing while in the workplace Agreement
Safety Safety Measures I would like access to personal protective equipment (e.g. face masks, hand sanitizer) on my return to the Agreement
workplace
Safety Safety Measures I would feel comfortable having a temperature check while being in the workplace Agreement
The next questions ask about continued remote working once the transition back to the workplace has Agreement
begun/Covid-19 restrictions have been lifted. When answering, please try to imagine how working remotely
would be under normal circumstances and not during lockdown and the current pandemic.
Remote Working Remote Working I believe I can do my work as effectively remote as in the workplace Agreement
Remote Working Remote Working I would feel genuinely supported by my [manager/team] if I chose to continue working remotely Agreement Choose either manager or team
Remote Working Remote Working I believe our [team/department] would benefit from some degree of remote working in the future Agreement Choose either team or department
Remote Working Remote Working I have the resources/equipment to continue working remote should I need to Agreement
Concerns Concerns I know where to raise concerns about transitioning back to the workplace Agreement
Concerns Concerns I would feel comfortable raising concerns about transitioning back to the workplace Agreement
Concerns Concerns What (if any) are your biggest concerns about returning to the workplace? Multi-select
Personal health and safety
Caring responsibilities
Traveling to the workplace
Readjustment to the workplace
Other

Comments Free text What can %ACCOUNT_NAME% do to support you as you make the transition back to the workplace? Free text
Comments Free text What has %ACCOUNT_NAME% implemented in response to the COVID-19 pandemic that could help working life in theFree
future?
text

Demographics What is your living status? Single Select


Living alone
Living with family
Living with other people
Where are you currently living? Single Select
In usual residence
In other residence (same state/county)
In other residence (different state/county)
In other residence (abroad)
What are your caregiving responsibilities? Single Select
Children (part- or full-time)
Other adults
Children and other adults
No caregiving responsibilities
How do you usually travel to work? Single Select
Walk
Cycle
Drive
Taxi
Public Transport
Other
How do you plan to travel to work once the COVID-19 restrictions are lifted? Single Select
Walk
Cycle
Drive
Taxi
Public Transport
Other NEW QUESTION
Prior to COVID-19 did you work remote? Single Select
Always
Sometimes
Never
Are you a people manager? Single Select
Yes
No NEW QUESTION

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