Pregnancy Accommodations at Work

Survey of Currently or Recently Expecting Employees

Sometimes, women need small changes (or accommodations) at work in order to maintain a healthy pregnancy or continue breastfeeding. These might include more frequent breaks, relief from heavy lifting, the ability to eat or drink on the job, or the ability to adjust schedules.

Indiana Institute for Working Families would like to hear about your experience working while pregnant or lactating. This quick 10-question survey is designed to help us better understand what kinds of accommodations women in Indiana request and how their supervisors/managers respond.

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* 1. First & Last Name:

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* 2. City:

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* 3. Zip code:

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* 4. At the beginning of my pregnancy, I worked:

Full time (35+ hours per week)

Part time (less than 35 hours per week)

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* 5. At the beginning of my third trimester, I worked:

Full time (35+ hours per week)

Part time (less than 35 hours per week)

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* 6. Please tell us what type of job you held (e.g. cashier, nurse, lawyer)

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* 7. Did you ask your supervisor/manager for any of the following accommodations because of your pregnancy:

To be excused from heavy lifting, climbing, or frequent bending

To be given breaks from sitting or standing for long hours

To limit hours to 40 per week (no overtime)

To avoid chemicals, radiation, or other hazardous substances

Temporary schedule changes due to morning sickness

More frequent breaks

Ability to drink water/snack during shifts

Time and space to express breastmilk

I did not ask for any of these because I did not need them

I did not ask for any of these because I was afraid of how my employer might respond

Other (please specify)

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* 8. If you did ask for accommodations, please describe how your manager/supervisor responded:

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* 9. Were you satisfied with the response you received?

Yes

Partially

Please explain:

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* 10. Would you be willing to participate in a follow up telephone interview with a staff member at Indiana Institute for Working Families?

Yes

If yes, please enter your contact info:

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* 11. I hereby grant to Indiana Institute for Working Families, its representatives, and employees the right to use this photograph/video and/or verbal/written statements in connection with the organization’s educational and advocacy efforts. I authorize Indiana Institute for Working Families, its assigns and transferees to copyright, use, and publish the same in print and/or electronically. I agree that Indiana Institute for Working Families may use such content for any lawful purpose, including such purposes as publicity, illustration, advocacy, and web content.

Yes, I grant permission.

No, I do not grant permission.