1.Have you taken unpaid leave through the Family and Medical Leave Act (not including vacation or sick time)?

Yes

No

Not sure

2.Does your current employer offer paid time off you can use to care for a new child, help a sick loved one or handle your own serious or longer-term illness or health issue?

Yes

No

Not sure

3.If you do have paid time off for serious family and medical needs, does your employer provide paid maternity or parental leave, family caregiving leave or disability leave, or only sick or vacation time?

Dedicated paid time

Sick

Vacation

Combination, including dedicated paid time

Sick and vacation only

None of the above

Not sure

4.In the last year or two, have you taken leave to care for a new baby, help a sick loved one or handle a serious illness?

Yes

No

Not sure

5.If yes to Q4, tell us about that time in the last year or two that you needed access to paid family and medical leave, whether you were able to take it, and what impact that had on your life or your family.