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(How much flexibility do you have at work to do each of the following?)…Work from home when needed

In the past 12 months, how often did you miss an activity your child(ren) were participating in, such as a concert or sporting event, because of your work responsibilities?

(If you needed to take a day or two off from work to care for a sick child or because of childcare issues, how worried would you be about each of the following?)…Your boss not seeing you as committed to your work

Is your spouse or partner the parent of…both of your children under 18, one of your children under 18 or neither of your children under 18?

(How much of a reason is each of the following for why you think you spend too little time with your child(ren)?)…Your children don’t live with you all of the time

How easy or difficult would you say it is for you personally to balance your work and family responsibilities?

(Regardless of whether you currently have each of the following at your job, how helpful would each be to you?)…Health insurance offered through your employer

If you or your spouse or partner needed to take unexpected time off from work to care for a sick child or because of childcare issues, who would be more likely to take time off?

(Have you personally experienced each of the following in the past 12 months?)…Feeling like you couldn’t give 100% at home

How long have you been with your current employer?