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Flexible Workplace Assessment
All information is treated strictly confidential and not for sharing without the written consent of the respondee.
Email *
1. What is your primary role in the business? *
2. Full name of person completing the form *
3. Name of Business, Organisation or Not for Profit? *
4. Please include your preferred phone contact details *
5. What industry sector do you represent? *
6. Years of Trading *
7. Total number of staff? *
8. Do you own your business premises? *
9. Do you lease business premises? *
10. If yes, how long before your lease expires? *
11. Do you currently have flexible working options for your staff? *
12. What are your current challenges around flexible working? *
13. Please select the key areas that you would value extra support or expertise? *
Required
14. What mediums of delivery interest you *
Required
15. Do you have any further comments you would like to make? *
Thank you for completing our assessment, would you like us to contact you unpack the insights? *
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