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).

From Least to Most

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).

From Least to Most

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.

This is a HeySurvey survey template.