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1. What company do you work for? (Required.)

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2. Please select your age group.

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3. Rate your overall experience working from home. (Required.)

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4. Rate your company's response to working from home. (Required.)

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5. When would you feel comfortable going back to work in person? (Required.)

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6. Please rank from most important to least important. What steps can your company take to make you feel most comfortable coming back to work in person? (Required.)

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7. Do you have young children or school-age children who require childcare? (Required.)

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8. Do you use public transit to commute to work? (Required.)

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9. What communication would you like to see from your company throughout the re-entry process? (Required.)

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10. How likely are you to recommend working at  your company to a friend? (Required.)

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11. What concerns would you like to see your company address? What ideas do you have for your employer to increase your comfort level upon re-entry? Please share any other feedback you may have.

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