Women's Time Survey Time to refuel....Who Has It? Who Wants It? Question Title * 1. My age is: 20-25 26-30 31-35 36-40 41-45 45+ Question Title * 2. On average, how much time do you spend on the following in a 24 hour day? < 1 hour 1-2 hours 3-5 hours 6-8 hours 8+ hours Childcare Childcare < 1 hour Childcare 1-2 hours Childcare 3-5 hours Childcare 6-8 hours Childcare 8+ hours Work (in the home including cleaning, laundry, meal prep, etc) Work (in the home including cleaning, laundry, meal prep, etc) < 1 hour Work (in the home including cleaning, laundry, meal prep, etc) 1-2 hours Work (in the home including cleaning, laundry, meal prep, etc) 3-5 hours Work (in the home including cleaning, laundry, meal prep, etc) 6-8 hours Work (in the home including cleaning, laundry, meal prep, etc) 8+ hours Work (outside the home) Work (outside the home) < 1 hour Work (outside the home) 1-2 hours Work (outside the home) 3-5 hours Work (outside the home) 6-8 hours Work (outside the home) 8+ hours Shopping (for household necessities) Shopping (for household necessities) < 1 hour Shopping (for household necessities) 1-2 hours Shopping (for household necessities) 3-5 hours Shopping (for household necessities) 6-8 hours Shopping (for household necessities) 8+ hours Driving/Commuting Driving/Commuting < 1 hour Driving/Commuting 1-2 hours Driving/Commuting 3-5 hours Driving/Commuting 6-8 hours Driving/Commuting 8+ hours Sleeping Sleeping < 1 hour Sleeping 1-2 hours Sleeping 3-5 hours Sleeping 6-8 hours Sleeping 8+ hours "Me" time (*Something you do to relax/enjoy) "Me" time (*Something you do to relax/enjoy) < 1 hour "Me" time (*Something you do to relax/enjoy) 1-2 hours "Me" time (*Something you do to relax/enjoy) 3-5 hours "Me" time (*Something you do to relax/enjoy) 6-8 hours "Me" time (*Something you do to relax/enjoy) 8+ hours Question Title * 3. Are you satisfied with your daily time (as outlined above)? Yes No If "No", how would you shift your time from above? (EX: Less time spent on ____________ and more time spent on __________. Question Title * 4. How often do you engage in an activity you would consider "me" time? Daily Weekly Monthly Annually N/A What activity best describes your "me" time? Question Title * 5. Do you ever associate "me"time with guilt? Yes No Depends If you answered "Yes" or "Depends," please specify why. Question Title * 6. If you could extend each day by one hour, how would you use this margin to refuel? Question Title * 7. Please choose the best answer to the following statement, "I prioritize time to refuel on a regular basis." True False If true, are you willing to help other women in this effort? If so, please email rwolford@creativehabitat.org (Subject Line: "TRUE") Question Title * 8. Are you willing to carve out more focused time to refuel in your day to day living? Yes Ideally yes, but I need help. No If "Yes" or "Ideally Yes", are you interested in learning how to carve out consistent time to refuel? If so, please email rwolford@creativehabitat.org Question Title * 9. I am a mom. Yes No If "Yes", how many children do you have (with ages). EX: 2 kids, ages 3 and 5 Question Title * 10. Are you interested in receiving the results of this survey? Yes No If "Yes," please provide your email Next