Employer Assessment
This survey collects employer information along with caregiving feedback so we can follow up when needed and improve workplace programs.
Identified responses
We ask for employer details so HR/People Ops can support you appropriately.
Smart sections
If you’re not currently a caregiver, the caregiving detail sections are skipped automatically.
Actionable outcomes
Your answers help shape policies (flexibility, caregiver benefits, manager training, etc.).
Survey Overview
What you’ll complete
Purpose
Understand caregiving responsibilities and how they impact employer so we can improve workplace support.
Estimated time
Typically 8–10 minutes depending on your answers.
Survey sections
A) Status • B) Demographics • C) Care Details • D) Work Impact • E) Support Needs
Smart logic
If Q1 is not “Yes, currently a caregiver”, Sections C and D will hide automatically.
How it works
Enter Employer Information
We use it for accurate reporting and support follow-ups.
Answer Survey Questions
Complete the form sections that apply to you.
Select Support Needs
In Q18 you can select a maximum of 3 items.