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* First and Last Name

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* Title

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* Department

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* Worksite Location

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* Please select your schedule:

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* How many days are you required to report to the office for work (on average)?

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* How many days per week do you telework (on average)?

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* Do you complete the same number of cases when you telework as when you work in the office?

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* If different, what is the average number of cases per day?

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* What was your telework status before the pandemic?

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* How often do you go into the office?

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* Ideally, how many days per week would you like to work in the office?

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* Can you perform any of your current job duties from home with the same level of effectiveness?

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* Would a change to your telework status affect your morale as an employee?

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* How would you assess your productivity working remotely compared to in the office?

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* How satisfied are you with the communications you have received from your agency/department/management regarding any changes in return to office requirements?

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* Do you feel like your concerns regarding returning to the office have been adequately addressed by your employer?

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* I feel that I'm being kept well-informed about what to expect in terms of returning to the office.

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* My views are being heard and considered in decisions about how we will be working in the future.

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* I have confidence and trust in my agency/department leadership.

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* Do you feel as though adequate health and safety precautions exist at your workplace (e.g. masking, social distancing, sanitizing shared spaces/equipment) to facilitate a safe return to office?

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* I am able to effectively structure my day while working remotely.

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* Do you feel your current work-from-home environment is comfortable and enables you to be effective and productive in your work?

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* Do you feel you have the equipment and resources you need to perform your job effectively from home?

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* Do you believe you are able to perform your job well while working from home?

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* Are you able to communicate regularly and effectively with your colleagues when you work from home?

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* Do you think communication with your teammates will change with any mandatory in-office days?

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* What are your work location preferences?

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* If you are required to return to the office, will you seek a reasonable accommodation to allow you to continue working remotely?

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* Do you support an agency-wide telework policy that requires all staff to report to an office at least two days per week?

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* Would the proposed telework policy update require you to make significant life changes? (ex. seeking different childcare, moving schools, seeking in-home care, moving homes/cities, etc.)

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* Did the ability to telework influence your decision to be employed by the state?

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* If you have additional comments or concerns, please let us know:

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