Return-To-Work Survey

Tell us more about your Return-To-Work plans!

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* 1. Which best defines your role?

Environmental Management

Health & Safety Management

Quality Management

Operations

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* 2. I am a:

C-Level/VP

Director

Manager

System Admin

Other (please specify)

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* 3. Which of the following best describe your industry?

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* 4. How many people work at your organization?

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* 5. How many locations does your company have?

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* 6. Which region(s) do you have operations in?

North America

South America

Europe

Middle East & Africa

Asia Pacific

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* 7. Have you begun planning your Return-To-Work strategy?

Yes

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* 8. Once government non-essential business bans are lifted, how quickly thereafter do you estimate your Return to Work efforts will begin?

Immediately

1 - 2 weeks

3 - 4 weeks

More than 4 weeks

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* 9. How long do you envision it will take to complete your Return to Work efforts to get your entire workforce back to your physical facilities?

1 - 3 months

3 - 6 months

6 - 12 months

1 year +

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* 10. Which functional groups are INVOLVED in your Return to Work planning?

Executive Team

Health & Safety

Human Resources

Operations

Quality

Other (please specify)

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* 11. Who is LEADING your Return to Work planning?

Executive Team

Health & Safety

Human Resources

Operations

Quality

Other (please specify)

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* 12. How has the COVID-19 crisis impacted the way Environmental, Health & Safety, Quality and Operations work together?

Greater cooperation/collaboration in working relationships

No change in working relationships

Less cooperation/collaboration in working relationships

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* 13. Do you expect further government intervention/additional regulations to be applied to your business?

Yes

Unsure

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* 14. Are you planning to take a Phased Approach back to full operations?

Yes

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* 15. If you are taking a Phased Approach, please provide the percentage of the workforce you expect to bring back in the first month:

Week 1

Week(s) 2 to 3

Week(s) 4 to 6

Week(s) 7 to 9

Week(s) 10 to 12

Week(s) 13 to 16

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* 16. If you are taking a Phased Approach, please select which option best represents your phased approach:

By Functional Area

By Region

By Specific Location

Other (please specify)

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* 17. If you are taking a Phased Approach based on Functional Area, please rank the order in which the functional areas will be brought back:

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* 18. Please rank how important each of the following Physical Considerations are to your Return to Work strategy:

	Very Important	Important	Somewhat Important	Not Important	N/A
Air Flow	Air Flow Very Important	Air Flow Important	Air Flow Somewhat Important	Air Flow Not Important	Air Flow N/A
Common Area Restrictions	Common Area Restrictions Very Important	Common Area Restrictions Important	Common Area Restrictions Somewhat Important	Common Area Restrictions Not Important	Common Area Restrictions N/A
Disinfection Measures	Disinfection Measures Very Important	Disinfection Measures Important	Disinfection Measures Somewhat Important	Disinfection Measures Not Important	Disinfection Measures N/A
Facility Signage	Facility Signage Very Important	Facility Signage Important	Facility Signage Somewhat Important	Facility Signage Not Important	Facility Signage N/A
Food Storage	Food Storage Very Important	Food Storage Important	Food Storage Somewhat Important	Food Storage Not Important	Food Storage N/A
Lighting	Lighting Very Important	Lighting Important	Lighting Somewhat Important	Lighting Not Important	Lighting N/A
Operational Equipment	Operational Equipment Very Important	Operational Equipment Important	Operational Equipment Somewhat Important	Operational Equipment Not Important	Operational Equipment N/A
Personal Protection Equipment	Personal Protection Equipment Very Important	Personal Protection Equipment Important	Personal Protection Equipment Somewhat Important	Personal Protection Equipment Not Important	Personal Protection Equipment N/A
Physical Access Controls	Physical Access Controls Very Important	Physical Access Controls Important	Physical Access Controls Somewhat Important	Physical Access Controls Not Important	Physical Access Controls N/A
Sanitary & Waste	Sanitary & Waste Very Important	Sanitary & Waste Important	Sanitary & Waste Somewhat Important	Sanitary & Waste Not Important	Sanitary & Waste N/A
Work Space Requirements	Work Space Requirements Very Important	Work Space Requirements Important	Work Space Requirements Somewhat Important	Work Space Requirements Not Important	Work Space Requirements N/A

Other (please specify)

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* 19. Please rank how important each of the following Process Considerations are to your Return to Work strategy:

	Very Important	Important	Somewhat Important	Not Important	N/A
Break Policy	Break Policy Very Important	Break Policy Important	Break Policy Somewhat Important	Break Policy Not Important	Break Policy N/A
Communications	Communications Very Important	Communications Important	Communications Somewhat Important	Communications Not Important	Communications N/A
Deep Cleaning & Disinfection Protocols	Deep Cleaning & Disinfection Protocols Very Important	Deep Cleaning & Disinfection Protocols Important	Deep Cleaning & Disinfection Protocols Somewhat Important	Deep Cleaning & Disinfection Protocols Not Important	Deep Cleaning & Disinfection Protocols N/A
Employee Self-Screening	Employee Self-Screening Very Important	Employee Self-Screening Important	Employee Self-Screening Somewhat Important	Employee Self-Screening Not Important	Employee Self-Screening N/A
Employee Training	Employee Training Very Important	Employee Training Important	Employee Training Somewhat Important	Employee Training Not Important	Employee Training N/A
Inventory Management	Inventory Management Very Important	Inventory Management Important	Inventory Management Somewhat Important	Inventory Management Not Important	Inventory Management N/A
Lead Times	Lead Times Very Important	Lead Times Important	Lead Times Somewhat Important	Lead Times Not Important	Lead Times N/A
Meeting Policy	Meeting Policy Very Important	Meeting Policy Important	Meeting Policy Somewhat Important	Meeting Policy Not Important	Meeting Policy N/A
Shift Planning	Shift Planning Very Important	Shift Planning Important	Shift Planning Somewhat Important	Shift Planning Not Important	Shift Planning N/A
Shipping & Receiving	Shipping & Receiving Very Important	Shipping & Receiving Important	Shipping & Receiving Somewhat Important	Shipping & Receiving Not Important	Shipping & Receiving N/A
Site Health Screening	Site Health Screening Very Important	Site Health Screening Important	Site Health Screening Somewhat Important	Site Health Screening Not Important	Site Health Screening N/A
Social Distancing Protocols	Social Distancing Protocols Very Important	Social Distancing Protocols Important	Social Distancing Protocols Somewhat Important	Social Distancing Protocols Not Important	Social Distancing Protocols N/A
Supplier Management	Supplier Management Very Important	Supplier Management Important	Supplier Management Somewhat Important	Supplier Management Not Important	Supplier Management N/A
Testing & Contact Tracing	Testing & Contact Tracing Very Important	Testing & Contact Tracing Important	Testing & Contact Tracing Somewhat Important	Testing & Contact Tracing Not Important	Testing & Contact Tracing N/A
Transportation & Logistics	Transportation & Logistics Very Important	Transportation & Logistics Important	Transportation & Logistics Somewhat Important	Transportation & Logistics Not Important	Transportation & Logistics N/A
Visitor & Contractor Self-Screening	Visitor & Contractor Self-Screening Very Important	Visitor & Contractor Self-Screening Important	Visitor & Contractor Self-Screening Somewhat Important	Visitor & Contractor Self-Screening Not Important	Visitor & Contractor Self-Screening N/A
Work From Home Policy	Work From Home Policy Very Important	Work From Home Policy Important	Work From Home Policy Somewhat Important	Work From Home Policy Not Important	Work From Home Policy N/A

Other (please specify)

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* 20. Please rank how important each of the following Psychological Considerations are to your Return to Work strategy:

	Very Important	Important	Somewhat Important	Not Important	N/A
EAP Modifications	EAP Modifications Very Important	EAP Modifications Important	EAP Modifications Somewhat Important	EAP Modifications Not Important	EAP Modifications N/A
Employee Mental Health/Wellness Programs	Employee Mental Health/Wellness Programs Very Important	Employee Mental Health/Wellness Programs Important	Employee Mental Health/Wellness Programs Somewhat Important	Employee Mental Health/Wellness Programs Not Important	Employee Mental Health/Wellness Programs N/A
Physical Health Programs	Physical Health Programs Very Important	Physical Health Programs Important	Physical Health Programs Somewhat Important	Physical Health Programs Not Important	Physical Health Programs N/A
Public Health Programs	Public Health Programs Very Important	Public Health Programs Important	Public Health Programs Somewhat Important	Public Health Programs Not Important	Public Health Programs N/A
Workplace Stress	Workplace Stress Very Important	Workplace Stress Important	Workplace Stress Somewhat Important	Workplace Stress Not Important	Workplace Stress N/A

Other (please specify)

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* 21. If you want to receive a copy of the final "The Post-Pandemic Workplace" report, please provide the following information:

Name

Email Address

Company

Title

Country