Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Parents, How Are Uncertain Times Affecting Your Life & Work Right Now? Mom's Hierarchy of Needs© study on the pandemic's impact on self-care, household responsibilities, work/life happiness & wellbeing for parents. OK Question Title * 1. Has your childcare been disrupted by COVID-19? Yes No OK Question Title * 2. Since social distancing, school closures and quarantines, are you doing more, less or about the same amount of housework and childcare? More Less About the Same Amount N/A · Childcare (i.e., Bedtime, Bathing, Feeding, Milestones, Wellbeing/Health) · Childcare (i.e., Bedtime, Bathing, Feeding, Milestones, Wellbeing/Health) More · Childcare (i.e., Bedtime, Bathing, Feeding, Milestones, Wellbeing/Health) Less · Childcare (i.e., Bedtime, Bathing, Feeding, Milestones, Wellbeing/Health) About the Same Amount · Childcare (i.e., Bedtime, Bathing, Feeding, Milestones, Wellbeing/Health) N/A · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) More · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) Less · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) About the Same Amount · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) N/A · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) More · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) Less · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) About the Same Amount · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) N/A OK Question Title * 3. Has your spouse/partner taken on more, less or about the same amount of housework and childcare since social distance/quarantines have taken place? More Less About the Same Amount N/A - I don't live with a spouse or partner · Childcare (i.e., Bedtime, Bathing, Feeding/Meals, Milestones, Wellbeing/health) · Childcare (i.e., Bedtime, Bathing, Feeding/Meals, Milestones, Wellbeing/health) More · Childcare (i.e., Bedtime, Bathing, Feeding/Meals, Milestones, Wellbeing/health) Less · Childcare (i.e., Bedtime, Bathing, Feeding/Meals, Milestones, Wellbeing/health) About the Same Amount · Childcare (i.e., Bedtime, Bathing, Feeding/Meals, Milestones, Wellbeing/health) N/A - I don't live with a spouse or partner · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) More · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) Less · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) About the Same Amount · Children’s activities (i.e. Entertainment, Sports, Play, Classes/Learning) N/A - I don't live with a spouse or partner · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) More · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) Less · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) About the Same Amount · Household/Housework (i.e., Meals, Finances, Repairs, Cleaning & Organizing) N/A - I don't live with a spouse or partner OK Question Title * 4. Are you working from your home during this time of social distance? Yes No OK Question Title * 5. If you could have access to anything you need to help improve your productivity right now, what would it be and why? OK Question Title * 6. What do you wish you had to improve your wellbeing right now and why? OK Question Title * 7. Which of the following best describes your current relationship status? Married Widowed Divorced Separated In a domestic partnership or civil union Single, but cohabiting with a significant other Single, never married OK NEXT
