* 1. What is your Employer/
Trust/ Deanery/Training Programme

* 2. Do you think your Employer/ Trust/ Deanery/ Training Scheme deserves to be nominated for being very family-friendly

* 3. Are you

* 4. Is your age

* 5. Are you

* 6. Do you get notice of your rota

* 7. Are you happy with the cover when you or your colleagues are on holiday/ sick/ maternity leave?

* 8. Is it a problem to obtain part-time training for childcare reasons?

* 9. Does your Employer/
Trust/Deanery/Training Programme take into account childcare responsibilities when allocating rotations within the deanery?

* 10. Are you given any/ adequate help and advice with childcare arrangements?