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* Gender:
 
Male
 
Female
 
 
 
* Please select your age group:
 
20 & under
 
21-30
 
31-40
 
41-50
 
51-60
 
61 & Over
 
 
 
Occupation:
 
Executive
 
Manager
 
Administrative Employee
 
Other
 

 
 
 
* Highest Level of Education Completed:
 
High school graduate
 
Some College
 
Bachelors Graduate
 
Masters Graduate
 
 
 
* How far do you travel each day to work roundtrip?
 
0-5 kms
 
5-10 kms
 
10-20 kms
 
20+ kms
 
 

* What is your average total commute time per day roundtrip?
 
Under 30 minutes
 
30 minutes to 45 minutes
 
45 minutes to 60 minutes
 
60 minutes to 90 minutes
 
90 minutes to 120 minutes
 
More than 120 minutes
 
 

* At what time of day do you begin work on most days?
 
Before 8:00 am
 
8:00 am - 9:00 am
 
9:00 am - 10:00 am
 
10:00 am - 10:30 am
 
10:30 am or after
 
 

* At what time of day do you end work on most days?
 
Before 4:30 pm
 
4:30 pm - 5:30 pm
 
5:30 pm - 6:30 pm
 
6:30 pm - 7:30 pm
 
7:30 pm or after
 
 

* Are you able to achieve a balance in your personal and work life?
 
Yes
 
No
 
Somewhat
 
 

* Are you currently being offered flexible work hours that allow you to vary or make changes in the time you begin and end work?
 
Yes
 
No
 
Sometimes
 
 

* Which alternative work schedule interests you most?
Start before 9:00 am and work for stipulated time
9:00 am to 6:00 pm - Monday through Friday
10:00 am to 7:00 pm - Monday through Friday
11:00 am to 8:00 pm - Monday through Friday
Start after 11:00 am and work for stipulated time
4 twelve hour days with 1 day off per week
 
 

* Would any of the schedules previously listed, assist you in better managing your clients?
 
Yes
 
No
 
Maybe
 
 

* If given the option of an alternative work schedule, would your workload allow you to take advantage of it?
 
Yes
 
No
 
Maybe
 
 

* Do you feel non-standard hours will help you in your job? If yes, please explain
 
Yes
 
No
 
Maybe
 
 

* Do you feel that non-standard hours would offer increased production?
 
Yes
 
No
 
Maybe
 
 

* If you answered Yes to question 16, why would production increase?
 
Less personal errands on work time
 
Less likely to experience burnout
 
Stress level would decrease
 
Job satisfaction would increase
 
Other
 
 
 

If you were offered a flexible work schedule, what is a reasonable expectation of your commitment and flexibility? Rate from 1 to 4.
Willing to work extra hours
Willing to take more responsiblity
Uncertain
Will work same as previous
 
 

* On an average how many hours you work per week?
 
less than 45
 
45
 
45 - 54
 
55 - 60
 
more than 60
 
 

* What is the main reason you would prefer an alternative work schedule? Please pick all that apply.
 
Arrangements for family/child care
 
Commute
 
Allows time for school
 
Nature of the job
 
Personal preference
 
Other
 
 
 

* Which do you value most?
 
Salary
 
Work Hours
 
Vacation / Sick Time
 
Benefits
 
Other
 
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