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* 1. First and Last Name

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* 2. Company Name

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* 3. Work Email

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* 4. How did a full-time, work-from-home policy affect your company culture?

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* 5. Did you launch any initiatives to promote your remote company culture?

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* 6. How do you plan (or already planned) to bring employees back to your workplace?

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* 7. On a scale of 1-5, how would you rate your level of confidence in temperature checks as a way to help prevent the spread of COVID-19 in your workplace

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* 8. What health & safety measures do you plan (or have your already planned) to implement to help prevent the spread of COVID-19 in your workplace?

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* 9. What is your greatest concern when considering the health & safety measures you plan to put in place?

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* 10. On a scale of 1-5, how confident are you that employees would comply with measures that allow them to take personal responsibility for the health and safety of themselves and others, as opposed to measures that are mandated by their employer?

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* 11. In addition to CDC guidelines, where else are you getting guidance on your workplace readiness strategy?

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* 12. Are you looking for a return to work solution?

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* 13. What topics are you most interested in being covered in our 'Ready for Work' Webinar series?

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* 14. What questions do you have for our webinar speakers?

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* 15. Do you want to be notified to register for our 'Ready for Work' webinars?

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