Thank you for participating in the Family Friendly Workplace certification. Ideally, the person in your organization with the most knowledge of employee policies should complete this survey. The survey consists of yes or no questions with space to elaborate as needed. It is our goal that it can be completed in 30-45 minutes.

In the following questions, please indicate which options are available for your employees and use the spaces below to elaborate if your policy or practice exceeds the federal requirements. If clarification is needed for any of the terms, please contact Qaree Dreher by phone or email at 321-277-4585 or Qaree.Dreher@talgov.com Please include as much information as you are comfortable putting in regards to where your organization stands in the implementation of these various opportunities.

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* 1. Do you offer opportunities for a flexible schedule?

Flexible Schedule - also called Flexible Work Arrangement (FWA), allows the employee to have flexibility with work schedule, a number of hours worked, or the place of work.

Example: An employee may need to alter their schedule and use flex time and work a 4-10 hour shift, temporarily switch to part-time, share their full-time duties and wages with another employee (job share), or work from home or a satellite location.

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* 2. If you would like to elaborate, please do so here.

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* 3. Do you offer parental/flex leave?

Parental/Flex Leave – additional leave granted to parents to take unpaid time off work to look after their child.

Example: A parent may need time off to spend with their child during a hospital stay, settle their child into a new childcare facility, look for a new school, or spend more time with their child in the early years.

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* 4. If you would like to elaborate, please do so here.

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* 5. Do you offer job sharing?

Job Sharing – two or more part-time employees share a full-time position, salary, and responsibilities for the total success of one job.

Example: One person may work in a specific position for 2 days and another person works 3 days out of the week.

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* 6. If you would like to elaborate, please do so here.

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* 7. Do you offer telecommuting?

Telecommuting – working away from the office for a varied period of time.

Example: An employee may request to complete work related tasks away from the workplace on certain days of the week, a number of weeks or indefinitely in order to take care of a family member with either an acute or ongoing sickness.

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* 8. If you would like to elaborate, please do so here.

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* 9. Do you offer paid time off?

Paid Time Off – time is subject to approval by a manager and allows employees to take pre-planned time off from work in increments as low as one hour. The accrual of time is dependent upon the number of hours worked and can be used for any purpose excluding tardiness. Note: if you have an all-inclusive policy, please use the space below to elaborate.

Example: An employee can use these hours to plan for vacation, doctor’s appointments, or pre-selected personal days off.

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* 10. If you would like to elaborate, please do so here.

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* 11. Do you offer paid sick days for employees?

Paid Sick Days (Employees) – providing paid days off for employees who are ill and need to take a few days off to recuperate.

Example: An employee contracts the flu, and is out of the office for 3 days. After submitting a doctor’s note, the employee is paid for those missed days.

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* 12. If you would like to elaborate, please do so here.

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* 13. Do you offer paid sick days for family members?

Paid Sick Days (Family) – providing paid days off for employees who have an ill family member and need to take a few days off to care for an ill family member.

Example: An employee's family member contracts the flu, and is out of the office for 3 days. After submitting proper documentation on behalf of the family member, the employee is paid for those missed days.

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* 14. If you would like to elaborate, please do so here.

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* 15. Do you offer maternity leave above federal requirements?

Maternity Leave Above Federal Requirements - under the FMLA employers with 50 or more employees must allow up to 12 unpaid workweeks, job security for 1 year, and maintenance of group health benefits during the leave for the birth or adoption of a child, and programs that facilitate the return of the employee.

Example: An employer may provide 6 weeks of paid leave time, lower the amount of work time required to have 12 weeks of unpaid leave, allow married couples to share leave time, allow telecommuting, allow a parent to bring the newborn to work, or an employer with fewer than 50 employees may provide unpaid or paid leave time.

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* 16. If you would like to elaborate, please do so here.

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* 17. Do you offer paternity leave above federal requirements?

Paternity Leave Above Federal Requirements - under the FMLA employers with 50 or more employees must allow up to 12 unpaid workweeks, job security for 1 year, and maintenance of group health benefits during the leave for the birth or adoption of a child, and programs that facilitate the return of the employee.

Example: An employer can create dedicated leave programs and offer paid leave programs for dads. An employer may provide 6 weeks of paid leave time, lower the amount of work time required to have 12 weeks of unpaid leave, allow married couples to share leave time, allow telecommuting, allow a parent to bring the newborn to work, or an employer with fewer than 50 employees may provide unpaid or paid leave time.

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* 18. If you would like to elaborate, please do so here.

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* 19. Do you offer federal medical leave?

Family Medical Leave – entitles employees, with certain employers, to take unpaid leave for specified family and medical reasons with the continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave, 12 workweeks of leave in a 12-month period, or 26 workweeks of leave during a single 12-month period to care for a service member with a serious injury or illness (military caregiver leave)

Example: An employee may need to ask for extended time off when he or she, a spouse, child or non-immediate family member is sick, from a chronic illness, and not a result of an acute illness such as flu, cold, or earache.

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* 20. If you would like to elaborate, please do so here.

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* 21. Do you offer lactation room above federal Requirements?

Lactation Room Above Federal Requirements– according to the Patient Protection and Affordable Care Act, employers must provide unpaid, reasonable break time in a secure room for a nursing mother to express milk, that is not a bathroom, for up to one year after giving birth. An employer with less than 50 employees must have evidence of an exemption.

Example: An employer may provide a nursing mother a private, secure, comfortable room and offer a small refrigerator for storage.

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* 22. If you would like to elaborate, please do so here.

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* 23. Do you offer policies to bring your child to work?

Bring your child to work policies - allows new moms or dads to bring their infants, ages 6 weeks to 6 months, to the office and care for them on the job.

Example: An employer may encourage a new mother or father to bring their infant to work with a baby play area on site.

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* 24. If you would like to elaborate, please do so here.

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* 25. Do you offer access to elder care?

Access to Elder Care – increasing the ease of caring for elder family members by providing flexible schedules, educational resources on caregiving, on-site care providers, subsidizing the cost of in-home care, assistance with insurance paperwork, or geriatric care management services- can be provided by employee assistance programs.

Example: An employee can use flex time to visit older family member or receive a subsidy if the family member needs in-home care.

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* 26. If you would like to elaborate, please do so here.

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* 27. Do you offer access to child care?

Access to Child Care – increasing the ease of caring children by providing flexible schedules, educational resources on caregiving, on-site care providers, subsidizing the cost of child daycare, assistance with insurance paperwork, or can be provided by employee assistance programs.

Example: An employee can visit their child at an on-site day care, or before/after school, summer, use flex time to visit or receive a subsidy for a local quality daycare center. An employer can provide on-site summer or vacation care options.

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* 28. If you would like to elaborate, please do so here. 

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* 29. Do you have a policy regarding domestic/sexual/dating violence and stalking?

Domestic/Sexual/Dating Violence and Stalking Policy – An employer has a written policy addressing domestic/sexual/dating violence and stalking as it relates to a safe and healthy workplace.

Example: A policy may include, among other things, accountability for employees, a statement of confidentiality, non-discrimination and non-retaliation for victims, and leave (paid/unpaid).

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* 30. If you would like to elaborate, please do so here.

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* 31. Do you offer employees a living wage?

Pay Employees a Living Wage - The living wage is the hourly rate that an individual must earn to support their family, if they are the sole provider and are working full-time (2080 hours per year) and may account for healthcare coverage, paid sick leave and vacation. Wage rates vary city to city.

Example: In Leon County, the hourly living wage for 1 adult is $10.98, for 1 adult with 1 child it is $22.95, for 2 working adults it is $8.74 and for 2 working adults with 1 child $12.60 based on the MIT living wage calculator.

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* 32. If you would like to elaborate, please do so here.

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* 33. Do you provide raises tied to inflation?

Provide Raises Tied to Inflation - As general price levels increase, the amount of pay increases.

Example: An employer may offer a cost of living wage increase every year so that salaries are tied to inflation and rise as inflation rates rise.

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* 34. If you would like to elaborate, please do so here.

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* 35. Do you offer your employees health insurance?

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* 36. If you would like to elaborate, please do so here.

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* 37. Do you offer family health insurance?

Family Health Insurance – health insurance coverage for approved members in an employee’s household.

Examples: An employee would use family health insurance to cover himself, a spouse, a child, a partner, or a roommate. An employer subsidizes a portion of the insurance cost or may pay for family members.

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* 38. If you would like to elaborate, please do so here.

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* 39. Do you offer on-site gym/exercise equipment?

On-site Gym/Exercise Equipment - fitness centers and programs typically include cardiovascular equipment, free weights, or space for group exercise classes, licensed personal training, locker rooms and amenities, fitness evaluations.

Examples: Office buildings with a gym facility on-site, provide space for group classes with access to fitness videos, employer has program to encourage employees to use it regularly, an employer incentivizes their employees with paid time off or lower health insurance payments for regular use of the on-site gym.

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* 40. If you would like to elaborate, please do so here.

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* 41. Do you offer wellness facilities?

Wellness Facilities –an onsite clinic which provides follow-up fitness evaluations, cholesterol and blood pressure screening, exercise classes, CPR training, annual Health Fair, or a walk-in care, first response to emergency situations, wellness seminars, or other services and programs such as medical screenings and flu shots.

Example: An employee can have an onsite facility and provide medical screening before selecting the level of health insurance coverage.

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* 42. If you would like to elaborate, please do so here.

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* 43. Do you offer a gym membership?

Gym Membership – a company can offer inexpensive gym memberships to employees, their spouses, adult children, and even company retirees.

Example: An employer can offer free or subsidized gym membership.

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* 44. If you would like to elaborate, please do so here.

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* 45. Do you offer worksite health screenings?

Worksite Health Screenings - occupational healthcare professionals provide walk-in care, first-response to emergency situations, first aid treatment, wellness seminars, and other services and programs such as medical screenings and flu shots.

Example: An employee can have a medical screening before open enrollment and select the appropriate level of health insurance coverage.

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* 46. If you would like to elaborate, please do so here.

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* 47. Do you offer health education opportunities?

Health Education Opportunities – An employer can focus on health and wellness areas of interests to the employees.

Examples: An employer can focus on a topic of interests such as healthy living, work/life balance, work environment, management practices by hosting a training or a lunch and learn for employees.

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* 48. If you would like to elaborate, please do so here.

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* 49. Do you offer a mental health support program?

Mental Health Support Program - An employer provides a range of different services that include access to mental health benefits from an Employee Assistance Program (EAP), offers a health risk assessment (HRA), hosts seminars on job burnout, and encourages peer-to-peer support groups for mental health conditions.

Examples: An employer may have on-site, off-site, or telephone counseling services free of charge.

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* 50. If you would like to elaborate, please do so here.

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* 51. Do you offer a health incentive program?

Health Incentive Programs – An employer attempts to build motivation by offering individuals external rewards for taking steps towards a healthier life.

Examples: An employer contributes to a health care savings account, extra time off from work or travel awards, or discounted health insurance premiums.

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* 52. If you would like to elaborate, please do so here.

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* 53. Do you offer a Flexible Spending Arrangement (FSA) account?

FSA Account – money that is set aside from an employee’s paycheck before taxes are taken out, to pay for eligible health care or dependent care expenses.

Examples: An employee can use their FSA account to pay for dental or medical expenses, co-pays, coinsurance, exams, x-rays, or contact lenses.

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* 54. If you would like to elaborate, please do so here.

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* 55. Do you offer staff retreats?

Staff Retreats – a pre-scheduled day during a regular workweek used to construct a positive cooperative work environment.

Examples: A manager and the team may take a day or weekend away from the office to problem solve or focus the employee’s attention before or after the completion of a major project.

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* 56. If you would like to elaborate, please do so here.

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* 57. Do you offer community outreach or service opportunities?

Community Outreach/Service – an employer provides employees opportunities to volunteer within the community for set amount of time during a pay period.

Example: An employer offers employees opportunities to volunteer at local schools, food pantries, shelter or libraries for 1 hour, once a month.

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* 58. If you would like to elaborate, please do so here.

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* 59. Do you offer an employee recognition program?

Employee Recognition Program – an arrangement used to encourage employee engagement and better work performance and company loyalty.

Example: An employer may give employees gifts on milestone anniversaries, grant an extra personal day for perfect attendance, or pay a one-time cash bonus for making a cost-saving suggestion.

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* 60. If you would like to elaborate, please do so here.

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* 61. Do you offer professional development or training?

Professional Development or Training – an expert sharing a protocol, skill or information required to improve specific employee output.

Example: An employer may subsidize the cost of external training up to a predetermined amount each year. Typical topics of employee training are communications, computer skills, human relations, quality initiatives.

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* 62. If you would like to elaborate, please do so here.

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* 63. Do you provide emergency loans or grants?

Emergency Loans or Grants – a low-interest loan used to help pay for unplanned issues, such as car repairs or healthcare expenses. It is an alternative to high-interest payday loans and other expensive financial products. Employers can also offer student loan repayment options.

Example: Employers help to pay off their employee’s student loans, or offer to consolidate and refinance their existing student-loan debt initiatives.

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* 64. If you would like to elaborate, please do so here.

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* 65. Do you provide sponsorship of events or fundraisers?

Sponsorship of Events or Fundraisers – employers and employees decide on a campaign, establish a goal, and raise donations for a cause.

Example: Employees raise money by hosting a 5K walk/run, food sales, and donate the profits to national organizations or local organizations like Breast Cancer Research, Huntington’s Disease Society of America, American Red Cross, 2nd Harvest, Homeless Shelter on the employee’s behalf.

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* 66. If you would like to elaborate, please do so here.

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* 67. Celebratory Events - managers and coworkers recognize the meaningful events in their employee’s lives.

Example: Employers host a monthly birthday or anniversary celebration for their employees or the company can contribute to a charity of the celebrant’s choice.

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* 68. If you would like to elaborate, please do so here.

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* 69. Do you provide volunteer opportunities?

Volunteer Opportunities – an employer creates opportunities for both employees and non-employees to use the facilities to work on specific projects/gain work experience.

Example – An employer offers volunteer opportunities for employees’ family members (middle and high school students).

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* 70. If you would like to elaborate, please do so here.

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* 71. Please use this space to include any other Family Friendly policies or practices not previously covered by the other sections.

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* 72. Please enter additional information about your company

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* 73. Do you have any feedback that would make this survey more effective moving forward?

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