Warner Center COVID Employer Worksite Survey

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1. Contact Information (Required.)

Name

Company

Email Address

Phone Number

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2. What is your role/position at your worksite? (Required.)

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3. How has COVID-19 affected operations? (Select all that apply) (Required.)

Temporarily closed business

Reduced operations to essential workers only

Transitioned core business (e.g., shifted to serving take out)

Transitioned to work from home

Other (please specify)

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4. How has it affected your workforce? (Select all that apply) (Required.)

Laid off employees

Furloughed all employees

Furloughed some employees

Able to retain all employees

Reduced certain benefits

Other (please specify)

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5. Approximately how many employees did you have working at your worksite before the COVID-19 pandemic? (Required.)

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6. Roughly what percentage of employees are currently working? (Required.)

100% - 75%

75%-50%

50%-25%

Less than 25%

N/A

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7. Out of those still working, how many are physically working on-site? (Required.)

100% - 75%

75%-50%

50%-25%

Less than 25%

N/A

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8. How are they commuting to work? (Select all that apply) (Required.)

Drive alone

Transit

Carpool

Biking

Walking

N/A

Other (please specify)

Question Title

9. What types of policy adjustments have been implemented to facilitate social distancing? For example, staggered schedules, assigned parking based on proximity to assigned building, etc.

Warner Center COVID Employer Worksite Survey

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. What is your role/position at your worksite? (Required.)

Question Title

* 3. How has COVID-19 affected operations? (Select all that apply) (Required.)

Question Title

* 4. How has it affected your workforce? (Select all that apply) (Required.)

Question Title

* 5. Approximately how many employees did you have working at your worksite before the COVID-19 pandemic? (Required.)

Question Title

* 6. Roughly what percentage of employees are currently working? (Required.)

Question Title

* 7. Out of those still working, how many are physically working on-site? (Required.)

Question Title

* 8. How are they commuting to work? (Select all that apply) (Required.)

Question Title

* 9. What types of policy adjustments have been implemented to facilitate social distancing? For example, staggered schedules, assigned parking based on proximity to assigned building, etc.

1. Contact Information (Required.)

2. What is your role/position at your worksite? (Required.)

3. How has COVID-19 affected operations? (Select all that apply) (Required.)

4. How has it affected your workforce? (Select all that apply) (Required.)

5. Approximately how many employees did you have working at your worksite before the COVID-19 pandemic? (Required.)

6. Roughly what percentage of employees are currently working? (Required.)

7. Out of those still working, how many are physically working on-site? (Required.)

8. How are they commuting to work? (Select all that apply) (Required.)

9. What types of policy adjustments have been implemented to facilitate social distancing? For example, staggered schedules, assigned parking based on proximity to assigned building, etc.