Working Moms Survey
Epicycle Group is creating a specially developed program for working moms who are stressed and overwhelmed by trying to balance their careers with childcare and remote schooling.

As a thank you, two survey respondents will be picked at random to receive an hour of free coaching- a $250 value each! Winners will be notified by email in early February.

THANK YOU for your time on this survey-- your responses will help us meet the needs of working moms.

- Sasha & Tracey

epicyclegroup.com
traceygutierrez.com

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Email Address (we will send you the survey results in aggregate) *
1) How stressful are the following aspects of work and children? *
Low stress
Moderate stress
High stress
Productivity at work
Too many meetings
Kids' education
Kids' emotional wellbeing
If you’re in a relationship, how stressful are the following aspects of your partnership/marriage?
Low stress
Moderate stress
High stress
Quality and fighting
Sharing domestic work
Clear selection
2) Please list additional stressors that are applicable to you:
3) How many hours a day do you spend on: *
Too little
The right amount
Too much
Work
Childcare
Running your home
Managing school
Self-care
Sleep
4) Do you have any symptoms of stress? *
Not present
Somewhat present
Very present
Overwhelm
Exhaustion
Anxiety
Trouble focusing
Interrupted sleep
Sadness/low energy
5) How often do you set boundaries? *
Not often enough
The right amount
N/A
With your boss
With your partner/spouse
6) If you have trouble setting boundaries, what gets in the way? Check all that apply. *
Required
7) What strategies do you use to manage you and your family’s time? *
8) What are your self-care habits? Please list what they are and how frequently you do them. *
9) Outside of remote schooling, do you children have more screen time than they did pre-COVID? *
If you answered yes to the previous question, what is the reason you need them to use the screen?
10) Please describe how you feel about yourself and your life in one sentence *
11) How well do you feel like you’re managing work-life balance challenges during COVID? *
Required
12) If your company supports you during COVID please list how.
13) What are the ages of your children? *
14) Are you a... *
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