Warner Center COVID Employer Worksite Survey

Question Title

* 1. Contact Information

Name

Company

Email Address

Phone Number

Question Title

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

Question Title

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

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)

Question Title

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

Laid off employees

Furloughed all employees

Furloughed some employees

Able to retain all employees

Reduced certain benefits

Other (please specify)

Question Title

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

Question Title

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

100% - 75%

75%-50%

50%-25%

Less than 25%

N/A

Question Title

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

100% - 75%

75%-50%

50%-25%

Less than 25%

N/A

Question Title

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

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.