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* 1. What concerns you most about returning to the office/workplace? (Select all that apply)

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* 2. In what area(s) would you like to see more guidance or recommended practices? (Select all that apply)

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* 3. What is your role within your company/business?

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* 4. Please indicate when you are targeting a return to the workplace.

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* 5. If you are not returning to work in the next five months, what is preventing you from doing so?

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* 6. Please indicate how prepared you feel your business is at addressing the following aspects related to returning to the office/workplace.

  Not prepared at all Somewhat prepared Fully prepared Not Applicable
Establishing a plan for returning to the workplace
(defining priorities, who comes back first, essential operations, etc.)
Preparing the people
(providing clear guidance, setting expectations, training, establishing channels for reporting issues, etc.)
Maintaining employee well-being
(stress, emotional strain, helping them dealing with conflicting priorities at home, etc.)
Maintaining leadership well-being
(stress, emotional strain, building resilience)
Preparing the workplace
(reconfiguring, cleaning and disinfecting, limiting access, supplies and PPE, etc.)
Managing remote workers
Maintaining our culture
Establishing workplace protocols
(social distancing, hygiene, mask-wearing, when to stay home, etc.)
Ensuring compliance
(with local/ state/federal guidelines, ADA, privacy, reporting, etc.)
Responding to an exposure
(communication strategy, planning for contingencies, isolation and post-infection procedures, etc.)

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* 7. That's all! Thank you!
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