FAMILY-FRIENDLY WORKPLACE ASSESSMENT

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1 FAMILY-FRIENDLY WORKPLACE ASSESSMENT EMPLOYER DEMOGRAPHICS This sectin is used t capture infrmatin abut yur rganizatin and emplyee ppulatin. Business/Organizatin Name Mailing Address Name f Primary Cntact Name f Secndary Cntact Psitin Phne Psitin Please indicate yur industry: Agriculture, frestry, fishing, and hunting Infrmatin Technlgy/Technlgy Accmmdatin/Fd Service Oil & Gas Administrative/Supprt Prfessinal Services Cnstructin Real Estate/Rental/Leasing Educatin Retail/Whlesale Trade Finance/Insurance Other: FF+ Assessment 1

2 Please indicate yur sectr: Public Private Nnprfit Lcal Gvernment State Gvernment Des yur wrkplace have 50 r mre emplyees n yur payrll? Yes N What des the breakdwn f individuals lk like in yur wrkplace? Number f Full-Time Number f Part-Time Number f Cntractrs Number f Vlunteers What percentage f full-time salaried emplyees are within the fllwing incme ranges (%)? Up t $28,000 $28,000 - $48,000 $48,000 - $88,000 $88,000+ FF+ Assessment 2

3 POLICIES & BENEFITS Financial security supprts a family s physical, scial, and emtinal health. Cre benefits and plicies cntribute t the wellbeing f emplyees and their families. D yu ffer paid benefits t yur emplyees and/r their dependents (spuse/dmestic partner, children)? YES NO Salaried Emplyees Hurly Emplyees Dependents (Spuse/dmestic partners, children) Which f the fllwing benefits d yu ffer t yur emplyees (check all that apply)? Healthcare Dental Visin Paid Time Off (PTO) Includes vacatin & sick time Paid Sick Leave (separate frm PTO) Paid Vacatin Leave (separate frm PTO) Life Insurance Emplyee Assistance Prgram Flex Spending Accunt/Health Savings Accunt D yu ffer leave t yur emplyees? YES NO Paid Partially Paid Unpaid What types f leave d yu ffer yur emplyees (check all that apply)? FMLA (12 weeks f leave in every 12 mnth perid) Leave (less than 12 weeks) Leave (mre than 12 weeks) Shrt-term Disability Lng-term Disability Bnding time fr new parents Adptin Assistance Emplyee Assistance Prgram Leave f Absence/Sabbatical (unrelated t medical) Pease explain any barriers that may exist fr yur cmpany if yu are unable t ffer any f the benefits listed abve. FF+ Assessment 3

4 Are emplyees able t dnate time t ther emplyees fr vacatin r sick time? Yes N Des yur wrkplace ffer any f the fllwing child care benefits? (check all that apply)? On-site child care Child care subsidy r vucher Referrals fr child care Emergency child care/backup child care Other (please specify): Nne FLEXIBILITY Allwing flexibility in the time r place wrk is perfrmed is helpful t emplyees in managing their wrk and persnal respnsibilities. Des yur wrkplace have a written plicy fr flex-time? Yes N What flexible wrk arrangements d yu prvide fr yur emplyees (check all that apply)? Return t wrk gradually pst leave Take shrt ntice ff fr emergencies Time ff during wrk hurs fr medical and/r persnal appintment Jb sharing Have cmpressed wrk week Telewrk Wrk part day t match schl schedules Wrk part year t match schl schedules Attend schl meetings/parent cnferences during the day Are there any cases where yu d nt ffer flexibility? Please explain. D yu evaluate and ffer flexibility based n the nature f the jb? Yes N If schl is clsed unexpectedly, are emplyees permitted t d any f the fllwing (check all that apply)? Wrk frm hme Adjust wrk schedule t make up time (e.g. emplyee can cme t wrk and hur early t leave an hur early, r wrk an extra hur during the fllwing wrk day) Take the day ff (paid) Access wrk-prvided emergency/backup child care referrals Bring child t wrk Other: FF+ Assessment 4

5 In what ther ways des yur wrkplace supprt wrk/life integratin fr yur emplyees? NEW PARENTS While the federal and state requirements are slightly different, emplyers must cmply with the requirements that are mre prtective f emplyees t accmmdate nursing mthers in the wrkplace as well as ffer assistance t new and expecting parents (mms and dads). What accmmdatins d yu prvide fr new and nursing mthers (check all that apply)? Reasnable break time fr emplyees t express milk Functinal space fr expressing milk (meaning rm is shielded frm view, free frm intrusin, available as needed, and nt a bathrm) A private space with a sink Apprpriate breast milk strage (such as a refrigeratr r small cler) Lactatin space accessible t clients/custmers Nne Please explain any barriers that may exist fr yur cmpany if yu are unable t ffer any f the accmmdatins listed abve. Please list any additinal accmmdatins fr nursing mthers that yur rganizatin ffers: D yu (r wuld yu) prvide mdified duty fr expecting mthers? Fr example, d yu assess the jb rles and hazards fr expecting mthers and prvide alternative duties that are fit fr bth physical and cgnitive functin. N Yes. Please explain: D yu (r wuld yu) allw emplyees t bring their babies (bilgical, adpted r fster) t wrk fr shrt visits? Yes N What types f educatin r training d yu prvide fr new and/r expecting parents (check all that apply)? Breastfeeding Financial planning Parenting Self-Care Sleep management Stress management Supprt grups Cunseling (mental health, family, spuse) Other: Nne FF+ Assessment 5

6 Hw d yu cmmunicate new parent benefits t yur emplyees (select all that apply)? Thrugh written plicies Thrugh training Infrmatin is prvided during n-barding As needed by HR (i.e. the emplyee as a family need and ges directly t HR fr guidance) On-ging marketing Other: We dn t cmmunicate new parent benefits t emplyees COMMUNICATION, EDUCATION & TRAINING Experts in family-friendly emplyment emphasize the imprtance f the manager s rle in implementing and supprting a familyfriendly wrkplace. Training and cmmunicatin can build these skills and infrm managers and emplyees. Which f the family-friendly plicies and practices are manager and emplyees trained n (check all that apply)? MANAGERS EMPLOYEES Leave (FMLA, paid leave) Wrk Flexibility Health Benefits Return t Wrk (after parental leave) Child Care Resurces Breastfeeding Accmmdatins Tuitin Supprt Directing Emplyees t Advice/Cunseling fr Family Supprt Other (please specify): Nne When d yu ffer trainings n the abve plicies and practices (select all that apply): During n-barding Quarterly Biannually Annually When new plicies are implemented We dn t ffer training n wrkplace plicies and benefits Other: FF+ Assessment 6

7 Please explain hw emplyees and managers are held accuntable fr cmplying with family-friendly plicies and practices: Please indicate t what extent yu agree r disagree with the fllwing statements: STRONGLY DISAGREE SOMEWHA T DISAGREE SOMEWHA T AGREE STRONGL Y AGREE Our wrkplace makes a real and n-ging effrt t infrm and encurage emplyees t utilize available resurces fr managing wrk and life. As a general practice, emplyees are encuraged t speak t supervisrs/managers abut family needs. Management mdels the way by utilizing family-friendly benefits. Leadership priritizes family-friendly benefits. Management encurages emplyees t utilize family-friendly benefits. Representatives frm all levels f management utilize family-friendly benefits. What mtivates yur rganizatin t create family-friendly benefits (check all that apply): Family-Friendly benefits imprve emplyee health utcmes. Family-Friendly benefits decrease wrk-family demands. Family-Friendly benefits reduce emplyee stress. Family-Friendly increase emplyee prductivity. Family-Friendly benefits increase emplyee retentin at the wrkplace. Family-Friendly benefits attract new emplyees t the wrkplace. Family-Friendly benefits imprve emplyee mrale at the wrkplace. What additinal benefits d yu prvide that might be cnsidered family-friendly? In ther wrds, what else shuld we knw abut yur wrkplace that isn t indicated in this assessment? THANK YOU FF+ Assessment 7

8 Thank yu t ur supprters wh helped make the Family-Friendly Assessment available t businesses thrughut Clrad: The Family-Friendly Wrkplace Assessment is prtected by cpyright law. Unless therwise stated, users may print, dwnlad, r reprint the Family- Friendly Wrkplace Assessment prvided they identify the surce f material and include a statement that the materials are prtected by cpyright law. Users may nt distribute, reprduce r use fr cmmercial purpses withut written cnsent. The Family-Friendly Wrkplace Assessment may nly be used withut permissin fr educatinal purpses. FF+ Assessment 8