Exit Working From Home Check-In Question Title * 1. Your Name (Required): Question Title * 2. Your Email Address (Required): Question Title * 3. How satisfied are you with your current work from home arrangement? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 4. Compared to last week, are you feeling more optimistic or pessimistic about working from home? Optimistic Pessimistic About the same Question Title * 5. What are the TWO biggest challenges you are currently facing while working from home? Childcare My physical workspace I’m sick or helping others who are sick Too many distractions at home I don’t have access to the tools or information I need to do my job at home Keeping a regular schedule General anxiety about the impact of coronavirus on my life Getting enough food Internet connectivity Social isolation Communication with coworkers is harder Other (please specify) Question Title * 6. Do you have all the equipment you need in order to do your work from home? Yes No Question Title * 7. Do you have a dedicated workspace where you can work at your home? Yes No Question Title * 8. How often do you keep to a regular working schedule at home? Every day Most days About half the time Rarely Never Question Title * 9. What else do you need from me to do your job well while working remotely? Question Title * 10. What questions do you have that I can take back to our team or company leadership? Done
