Thank you for participating in our Remote Work Wellness Survey during our celebration of National Work & Family Month 2020! Please be sure to enter your name and email address below to be entered for a chance to win one of three prize package giveaways!  (Winners will be notified by email by 10/30/2020)

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* 1. Please provide your name and email address to be entered for a chance to win one of three prize package giveaways!

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* 2. What is your current employment situation?

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* 3. What is your overall outlook for the future in regard to your career?

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* 4. In the past 6 months, have you experienced any of the following? (Select all that apply)

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* 5. When it comes to healthy habits in your work life, do you engage in any of the following? (Select all that apply)

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* 6. Do you feel that you receive enough support from management and coworkers within your professional life in order to successfully fulfill your responsibilities and feel connected?

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* 7. What are the current family dynamics within your household?

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* 8. What is your overall outlook for the future in regard to your personal life?

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* 9. In the past 6 months, have you experienced any of the following in your personal life? (Select all that apply)

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* 10. When it comes to healthy habits in your personal life, do you engage in any of the following? (Select all that apply)

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