Let’s Plan Your Return to Work
Help us understand what you need for a smooth return. Please avoid sharing medical details or other sensitive personal information.
Where are you in your return-to-work plans?*
Choose the option that best fits your situation.
How ready do you feel to return to work?*
If you have already returned, think about how ready you felt on your first day. Rate from 1 (not at all ready) to 5 (very ready).
What concerns do you have about returning?
Select all that apply. Leave blank if you have no concerns.
What work arrangement would best support your return?*
Choose your preferred arrangement, even if it is not currently available.
How clear is the information you’ve received about your return?*
Rate from 1 (not at all clear or no information received) to 5 (very clear).
What support would help you settle back in?
Select all that apply. Leave blank if you do not need additional support.
When would a check-in with your manager be most helpful?
Choose the timing that would work best for you.
What task or skill would you most like a refresher on?
A short answer is fine. Leave blank if you do not need a refresher.
What else would make your return easier?
Share any practical suggestions or needs we haven’t covered.
Thank you for taking a part in this survey.