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* 1. Do you get paid sick time to care for yourself and your family at work?

* 2. Have you lost pay or your job because you needed to take time off while you or a family member was sick?

* 3. Do you have a story you would like to share - either about a time you were happy to have sick time, or a time when you needed it?

* 4. Can we contact you to learn more about your paid sick time story?

* 5. Can we post your story on our website and use it in testimony to support the need for paid sick days? We will only use your first name and town unless you give us permission to use more information.

Thank you so much for taking our survey! Please click "done" below to submit your answers.