1.Which Gender describes you best?

Woman

Man

Non-binary

Trans

Prefer not to say

Prefer to self-describe

2.What age range are you in?

18-25

26-35

36-44

45-54

55-64

65+

3.Which of the following best describes your current work status?

Full-time employee

Part-time employee

Casual

Retired

Other

4.How long have you been dealing with a reproductive health issue?

Less than 1 year

1-3 years

3-5 years

More than 5 years

I am not currently dealing with an ongoing issue.

5.Please select any reproductive health issues that have impacted your work life (Select all that apply):

Endometriosis

Polycystic Ovary Syndrome (PCOS)

Fibroids

Menopause/Perimenopause

Severe Menstrual Pain (Dysmenorrhea)

Infertility/Fertility Treatments (e.g., IVF)

Pregnancy complications or loss

Vasectomy

Reproductive Cancer

Other chronic condition

None of the above

6.Please rate the overall impact of your reproductive health issue(s) on your ability to perform your work duties effectively. 1 = minimal impact and 5 = severely disruptive.

1

2

3

4

5

1

2

3

4

5

7.If you have taken time off or had adjustments at work due to your reproductive health issue, what kind of support did you utilise? (Select all that apply)

Sick leave

Unpaid leave

Working remotely

Flexible work arrangement

Did not utilise any support/Made no adjustments

I did not need to make adjustments

8.How comfortable have you felt discussing your reproductive health issues with the following people at work?

1 (Very Uncomfortable)

2

3 (Neutral)

4

5 (Very Comfortable)

N/A

Your direct manager

1 (Very Uncomfortable)

2

3 (Neutral)

4

5 (Very Comfortable)

N/A

HR/People and Culture

1 (Very Uncomfortable)

2

3 (Neutral)

4

5 (Very Comfortable)

N/A

Co-workers

1 (Very Uncomfortable)

2

3 (Neutral)

4

5 (Very Comfortable)

N/A

9.How much do you agree with the following statement: "My workplace supports me and the management of my reproductive health issues."

1 (Do not agree AT ALL)

2

3 (They could do better)

4

5 (Very supportive - I've never had an issue)

1 (Do not agree AT ALL)

2

3 (They could do better)

4

5 (Very supportive - I've never had an issue)

10.Has managing your reproductive health issue ever resulted in any of the below? (Select all that apply)

Missing out on promotions or career advancement

Negative performance reviews

Retaliation or discrimination

Loss of income

Increased stress/Anxiety about job security

None of the above

11.To win this entitlement, we need to amplify your voice at the bargaining table. Your experiences are the most powerful evidence we have. Please share an experience you've had managing a reproductive health issue while working.

12.If you had one piece of advice for employers supporting workers with reproductive health issues, what would it be?