Page 1 of 1

How Stable Is Your Work–Childcare Balance Right Now?

What best describes your current situation?

A

Working full-time

B

Working part-time

C

Self-employed/ freelance

D

On maternity/paternity leave

E

Not currently working but planning to return

F

Not planning to return to work

Which best describes your current work pattern

*

Which best describes your current work pattern

A

Fixed hours at a workplace (e.g. office, site, clinic, store)

B

Flexible hours (you choose when you work)

C

Remote / home-based work

D

Shift-based work (rotating or scheduled shifts)

E

Irregular work (hours vary week to week)

F

Self-employed / freelance (you control your workload and schedule)

G

Not currently working

How much support does your employer provide for balancing work and childcare?

*

How much support does your employer provide for balancing work and childcare?

A

Very supportive (flexible, proactive policies)

B

Somewhat supportive (occasional flexibility)

C

Limited support (little flexibility or understanding)

D

No support

E

Not applicable (self-employed / not employed)

What are the ages of your children? (Select all that apply)

*

What are the ages of your children? (Select all that apply)

How overwhelmed do you feel on a typical weekday?

*

How overwhelmed do you feel on a typical weekday?

A

Never

B

Rarely

C

Sometimes

D

Often

E

Very often

How confident do you feel managing both work and childcare?

*

How confident do you feel managing both work and childcare?

A

Very confident

B

Fairly confident

C

Somewhat confident

D

Not very confident

E

Not confident at all

How secure and predictable does your current work situation feel day-to-day?

*

How secure and predictable does your current work situation feel day-to-day?

A

Very predictable (stable hours, income, and expectations)

B

Mostly predictable with occasional changes

C

Somewhat unpredictable (frequent changes to schedule/workload)

D

Very unpredictable (uncertain hours, income, or expectations)

How often do you feel like you are “just getting through the day” rather than managing things comfortably?

*

How often do you feel like you are “just getting through the day” rather than managing things comfortably?

A

Never

B

Rarely

C

Sometimes

D

Often

E

Very Often

In a typical week, how many times do you feel your plans for work or childcare are disrupted?

*

In a typical week, how many times do you feel your plans for work or childcare are disrupted?

A

Never

B

1-2 times

C

3-4 times

D

5+ times

Which of these has the biggest impact on your day-to-day stress? (Select all that apply)

*

Which of these has the biggest impact on your day-to-day stress? (Select all that apply)

How often do childcare issues (illness, closures, availability) affect your ability to work or plan your week?

*

How often do childcare issues (illness, closures, availability) affect your ability to work or plan your week?

A

Never

B

Rarely

C

Sometimes

D

Often

E

Very Often

Which of the following have you already tried to make things easier? (Select all that apply)

*

Which of the following have you already tried to make things easier? (Select all that apply)

Adjusted work hours or flexibility

Asked employer for support

Paid for additional childcare help

Leaned on family/friends

Used apps or online advice

I haven’t really been able to change anything

If you had a simple, practical way to reduce daily pressure, how likely would you be to use it?

*

If you had a simple, practical way to reduce daily pressure, how likely would you be to use it?

A

Very likely

B

Somewhat likely

C

Not sure

D

Unlikely

Would support from your employer in managing childcare/work balance be helpful to you?

*

Would support from your employer in managing childcare/work balance be helpful to you?

A

Yes

B

Maybe

C

No

Optional: Which of the following best describes you?

A

Woman

B

Man

C

Non-Binary

D

Prefer not to say

E

Other (Please Specify)

How Stable Is Your Work–Childcare Balance Right Now?

What best describes your current situation?

Which best describes your current work pattern

How much support does your employer provide for balancing work and childcare?

What are the ages of your children? (Select all that apply)

How overwhelmed do you feel on a typical weekday?

How confident do you feel managing both work and childcare?

How secure and predictable does your current work situation feel day-to-day?

How often do you feel like you are “just getting through the day” rather than managing things comfortably?

In a typical week, how many times do you feel your plans for work or childcare are disrupted?

Which of these has the biggest impact on your day-to-day stress? (Select all that apply)

How often do childcare issues (illness, closures, availability) affect your ability to work or plan your week?

Which of the following have you already tried to make things easier? (Select all that apply)

If you had a simple, practical way to reduce daily pressure, how likely would you be to use it?

Would support from your employer in managing childcare/work balance be helpful to you?

Optional: Which of the following best describes you?

Optional: What is the hardest part of balancing work and childcare right now?