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2013
March
F
Flextime Preferences
Flextime Preferences
0%
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
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Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
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I Agree
How far do you travel to work each day roundtrip?
0-15 miles
16-30 miles
31-50 miles
50+ miles
What is your average total commute time per day roundtrip?
Under 30 minutes
30-45 minutes
45-60 minutes
60-90 minutes
90-120 minutes
more than 120 minutes
At what time of day do you begin work most days?
Before 8 a.m.
8:00-8:30 a.m.
8:30-9:00 a.m.
9:00-9:30 a.m.
9:30 a.m. or after
Are you able to achieve a balance in your personal and work life?
Yes
No
Somewhat
Which alternative work schedule appeals to you most?
8 am to 4:30 pm- Monday through Friday
7:30 am to 4:00 pm- Monday through Friday
9 am to 5:30 pm- Monday through Friday
9 hr day, 9 days, 10th day off
4 ten hour days with three days off
Other
Have you taken any sick days this year that you can attribute to burnout?
Yes
No
What are the main reasons you'd prefer an alternative work schedule. Please select all that apply.
Arrangements for family/child care
Allows time for school
Nature of the job
Personal Preference
Other
Which do you value most?
Salary
Work hours
Vacation/Sick Time
Benefits
Other
Which do you value most?
Salary
Work hours
Vacation/Sick Time
Benefits
Other
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