The Wisconsin Women’s Council (appointed by the Governor and the State Legislature) in partnership with the Wisconsin Family and Caregiver Support Alliance requests your participation in a first annual statewide employer survey.  We seek to better understand the challenges employers experience as they address the needs of employees with caregiving responsibilities.  The intent of this survey is to improve information and other resources available to Wisconsin employers as they support all caregivers on the job, including women. Individual survey responses will remain confidential.  The overall survey results and report will be shared with participating employers. This survey will take approximately 5 minutes to complete. 

For purposes of this survey, caregiving is defined as support provided to a family member (beyond typical care for a minor child) who may be an older adult or person with a disability.

* 1. What percentage of your employees are estimated to have family caregiving responsibilities? 

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i We adjusted the number you entered based on the slider’s scale.

* 2. How have caregiving responsibilities impacted your company or agency? (check all that apply)

* 3. To what extent do you believe male and female employees in your organization are impacted differently by caregiving responsibilities?

* 4. As an employer, what strategies have been used to support employees with caregiving responsibilities? (check all that apply)

* 5. As an employer, would you benefit from receiving more training or information to support employees with family caregiving responsibilities?

* 6. What types of resources would be valuable? (check all that apply)

* 7. Which of the following best describes the principal industry of your organization?

* 8. How many employees do you have?

* 9. Where is your business/organization primarily located? 

* 10. What is your position at the company or agency?

* 11. Would you like to receive the results of this survey?

* 12. Would you like to be contacted by someone with expertise on caregiving resources and information in your area?

* 13. Feel free to share any additional questions or comments on this issue.

* 14. If you have indicated you would like either survey results or additional caregiving information, please provide your contact information.