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* 1. Name (optional and will not be shared with your employer. However, this is helpful if we want to follow up with you about any of your concerns)

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* 3. Employment Information

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* 5. How often do you currently report to your employer's work location?

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* 6. Do you currently have an accommodation to work from home?

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* 7. What is/would be your regular worksite?

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* 8. Where do/would you commute in from?

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* 9. I commute primarily via:

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* 10. How long does/would it take you to get to the office?

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