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1.
Contact Information
Full Name
Email address
Phone Number
2.
Are you a Together Member
Yes
No
3.
Member ID (If known)
Your personal experiences
4.
Have you accessed Reproductive Leave since it was introduced?
Yes
No
5.
If no, what factors have influenced your decision? (Select all that apply)
I haven't needed it yet
I wasn't aware I could use it
Concerned about how my manager/employer would respond
Unsure about the application process
Other (please specify)
6.
If yes, how would you rate your experience accessing Reproductive Leave?
Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Very difficult
7.
Did you feel comfortable requesting Reproductive Leave from your manager?
Yes
No
Unsure
I haven't accessed RHL
8.
Was any documentation or justification requested beyond what is outlined in the Directive?
Yes
No
I haven't accessed RHL
9.
Did Reproductive Leave make a difference in how you managed your health and work-life balance?
Yes, significantly
Yes, somewhat
No
I haven't accessed RHL
10.
In what ways has access to this leave benefited you? (Select all that apply)
Reduced stress about taking time off for health reasons
Allowed me to manage my reproductive health without financial burden
Helped me stay productive at work
Created a more supportive workplace culture
I haven't accessed RHL
Other (please specify)
Workplace Impact
11.
Have you noticed any changes in your workplace culture since Reproductive Leave was introduced?
Yes, it has become more supportive and open about reproductive health
No, things remain the same
Unsure
12.
Have you observed colleagues using Reproductive Leave?
Yes
No
Unsure
13.
Do you feel managers in your workplace have received enough training and guidance on implementing Reproductive Leave?
Yes
No
Unsure
Improving Reproductive Leave
14.
Would you be willing to share your experience as part of future advocacy efforts?
Yes, I’m happy to be contacted for further discussion
Yes, but I prefer to remain anonymous
No
15.
Do you have any other comments or feedback on Reproductive Leave?