• What is your current employment status?
  • Did you leave your job to care for your child full-time?
  • How many hours per month do you spend learning or researching how to support your child? (understanding accommodations, specialists, providers, IEP goals, etc.)
  • How many times per month do you typically need to take unplanned time off from work to care for your child?
  • Prior to leaving your job: How many times per month did you typically need to take unplanned time off from work to care for your child?
  • How many times per month do you typically miss deadlines or appointments at work to accommodate your child's needs?
  • Prior to leaving your job: How many times per month did you typically miss deadlines or appointments at work to accommodate your child's needs?
  • How many days per month is it difficult to focus on anything but your child?
  • Prior to leaving your job: How many days per month was it difficult to focus on anything but your child?
  • How many days per month do you feel overwhelmed?
  • How many days per month do you feel exhausted at work?
  • Prior to leaving your job: How many days per month did you feel exhausted at work?
  • Has your employer been supportive of your family's needs when caring for your child?
  • Prior to leaving your job: Was your employer supportive of your family's needs when caring for your child?
  • Do you feel comfortable talking to your employer about your child’s disability?
  • Prior to leaving your job: Did you feel comfortable talking to your employer about your child’s disability?
  • When you left your job: Did you discuss the reason for leaving with a member of the HR team?
  • Have you ever considered leaving your job to care for your child full-time?
  • Should be Empty: