Pregnancy Fairness Survey

Wisconsin law does not always support responsible pregnant workers. Pregnant employees rely on each paycheck up to their due date. Even after the baby is born, many mothers cannot afford to take a full 6-12 week maternity leave. Over the past decade, the number of pregnancy discrimination charges has increased by 35% nationwide.

Sharing your experience can make a real difference in ensuring that pregnant women aren't forced to choose between carrying out a healthy pregnancy or providing for their family.

1.Are you the primary or sole breadwinner in your household?

Yes

Comments:

2.Did you work through one or more of your pregnancies?

Yes

3.Were you fired during your pregnancy? If so, what was the reasoning?

Yes

Reason Given:

4.During your pregnancy, did you require special accommodations at work? ie. a chair to sit during your shift, additional restroom breaks, being moved to light duty, etc.

Please describe your work needs:

5.Did your employer accommodate your needs at work during your pregnancy?

Yes

6.If yes, and your employer made accommodations for you at work, what did that include?

7.If no, and your employer would not make accommodations during your pregnancy, what happened?

I was forced to take maternity leave early.

I lost my job.

I was passed over for a promotion or transition to a similar position.

Other (please specify)

8.Were you able to take maternity leave?

Yes

9.How long was your maternity leave?

10.Was your maternity leave paid or unpaid?

Paid

Unpaid

11.Additional Comments:

12.Are you willing to share your experience?(Required.)

Yes

Unsure

Anonymously

13.How can we contact you?

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number: