EDA Discovery Questionnaire

Discovery Questionnaire
Contact Information
Name *

First Name Last Name
Title *
Department *
Address *

Street Address

Street Address Line 2

City State / Province
Phone Number *

Area Code Phone Number
Email *
example@example.com
Company Information
Company Name *
Company Size

1-10 11-50 51-200 201-500 501-1000 1000-5000 5000+
Industry
Company Workplace Culture
1) On average, how many employees are out on maternity leave monthly?

1-5 5-10 10-15 15-20 20+
2) What is the female to male ratio within the company?
3) What are the top 3 parental or maternity leave benefits the company currently offers?
4) Will staff continue to work remotely post COVID-19?

Yes No
5) What virtual support services do you currently have in place for parents?
Should be Empty:

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Discovery Questionnaire