Work Schedule Flexibility Request Survey

Hi! We're gathering input on work schedule flexibility so we can build fair, workable policies. Your responses are completely confidential and anonymized. This will take about 8 minutes, and your answers help shape real decisions — not just get filed away.

Are you currently requesting, or seriously considering requesting, a change to your work schedule?

• Yes, I have an active request
• Not yet, but I'm considering one
• No, just sharing feedback on flexibility in general

What type of schedule change would help you most? Select all that apply.

• Shifted start/end times
• Compressed workweek (e.g., 4 longer days)
• More remote or hybrid days
• Reduced hours / part-time
• Job share arrangement
• Flexible hours with no fixed schedule

What is the primary reason behind this request?

• Childcare or family care
• Eldercare or caregiving for a dependent
• Commute time or cost
• Physical health condition
• Mental health or wellbeing
• Education or professional development
• Second job or personal business

If granted, how much would this change improve your ability to do your job well?

How urgent is this need for you right now?

If this schedule change were approved, how do you think it would affect the following?

If your first-choice schedule change can't be fully granted, rank these alternatives from most to least workable for you.

1. Fully remote on select days
2. Shifted start/end times
3. Compressed workweek
4. Reduced hours / part-time
5. Job share arrangement

Probe the real constraint behind this respondent's schedule change reason: what specifically happens on days or hours where the current schedule doesn't work, and what has already gone wrong or nearly gone wrong because of it. Anchor on their stated urgency and primary reason. Explore whether a partial accommodation (e.g., one flex day, a 1-2 hour shift) would meaningfully resolve the issue, or whether only the full request works and why. If they said they're 'just sharing feedback' with no active request, ask what would need to change for them to actually submit one.

How long do you expect to need this schedule change?

• Temporary, under 3 months
• 3 to 12 months
• Indefinite or ongoing
• Not sure yet

Have you already tried any workarounds or informal arrangements with your manager or team? Briefly describe what worked or didn't.

Which department or team are you part of? (Replace with your organization's department list.) (Template note: swap in your actual department taxonomy before launching.)

• Department A
• Department B
• Department C
• Department D
• Prefer not to say

How long have you been with the organization?

• Less than 1 year
• 1-3 years
• 4-7 years
• 8+ years
• Prefer not to say

What is your employment type?

• Full-time
• Part-time
• Contract or temporary
• Prefer not to say

Thank you for sharing this — it's genuinely useful. Your responses will be reviewed alongside others to shape our approach to schedule flexibility, and individual requests will be followed up on separately by your HR contact.