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8
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
"How often do you notice unexplained drops in productivity or work quality?"
Never
Rarely - 1-2 employees/year
Sometimes - quarterly incidents
Frequently - monthly issues
Constantly - weekly problems
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5
"Do employees call in sick frequently (especially Mondays/Fridays)?"
Never
Occasionally
Regularly - pattern emerging
We track it as a serious issue
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6
Workplace Incidents
TNone
1-2 minor issues
Multiple documented cases
Serious HR investigations
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7
Benefit Utilization
Less than 5%
5-10%
10-20%
Don't track this
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8
Leadership Confidence
Very confident - trained (
Somewhat prepared
Avoid the topic
Crisis mode - need help now
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