| Question | Answers | Source | Source Link | Dates Used | |
|---|---|---|---|---|---|
| 1 | Please rate the extent to whch you believe each of the facotrs contribute to you being less productive at work: • Childcare responsibilities • Other family responsibilities (e.g., caring for a sick or elderly parent) • Mental health issues • Physical health issues • Remote work set • Flexible work hours • Health/safety concerns • Job security concerns • Reduced hours • Financial insecurity • Other, please specify: | • Not at all • Slightly • Somewhat • Moderately • A great deal • I'm not sure | US Chamber of Commerce Foundation | NA | 11/10/2021-11/16/2021 11/21/2021-11/24/2021 |
| 2 | Which childcare assistance, benefits, or accomodations did you regularly receive from your emplyoer before the COVID-19 pandemic? | • Onsite childcare • Partnership with an offsite/nearby childcare provider • Paid paternity leave • Paid maternity leave • Childcare provider subsidy / scholarship / reimbursement • Remote work / work from home • Flexible working hours • Flexible working days • Back up childcare • Dependent Care Flexible Spending Account (DCFSA) • Family-centric work policies (e.g., bring children to work, turn off video for virtual meetings) • Resources to help employees find childcare • Other, please specify: • N/A; I was not working before the pandemic | US Chamber of Commerce Foundation | NA | 11/10/2021-11/16/2021 11/21/2021-11/24/2021 |
| 3 | Which of the following benefits are most important to you as a working parent? Please select your top 5 benefits and move them to the box on the right. | • Onsite childcare • Partnership with an offsite/nearby childcare provider • Paid paternity leave • Paid maternity leave • Childcare provider subsidy / scholarship / reimbursement • Remote work / work from home • Flexible working hours • Flexible working days • Back up childcare • Dependent Care Flexible Spending Account (DCFSA) • Family-centric work policies (e.g., bring children to work, turn off video for virtual meetings) • Resources to help employees find childcare • Other, please specify: | US Chamber of Commerce Foundation | NA | 11/10/2021-11/16/2021 11/21/2021-11/24/2021 |