Flexible Workplace Employer

Flexible Workplace Employer Assessment
Required Required Question(s)
Required 1.

Organization and Contact General Information
First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Organization's Demographic Information
 
Required 2.

How many employees are in your organization in the Houston area?
Under 50
51 to 150
151 to 500
501 to 1000
1001 to 5000
Over 5000
Required 3.

Is Houston your organization's primary location?
Yes
No
Required 4.

What is your organization's main industry?
Oil & Gas
Advertising/Marketing
Retail
Healthcare
Education
Information Technology
Engineering
Legal Services
Finance/Brokerage/Ban-
king
Food & Beverage
Other  
  • Comment:

  • 500 characters left.
Required 5.

What is your organization's business case for flexible work options?
 

  • 1000 characters left.
Required 6.

What percentage of your organization's jobs have been evaluated for their suitability to compressed workweeks, telework, telecommuting, and/or flexible start and stop times?
 

  • 50 characters left.
Required 7.

What percentage of your management team is knowledgeable about flexible work options and how to leverage the advantages?
 

  • 50 characters left.
Required 8.

What percentage of your employees know what flexible work options are available to them?
 

  • 50 characters left.
Required 9.

How does your organization demonstrate to employees that management supports flexible work options?
 

  • 350 characters left.

What percentage of your employees uses one of the following flexible work options:
 
Required 10.

FLEX TIME
Flexible hours (scheduled start time is before 7:00 a.m. or after 9:00 a.m. and/or scheduled leave time is before 4:00 p.m. or after 6:00 p.m.)
 

  • 50 characters left.
Required 11.

COMPRESSED WORKWEEKS
4/9s and a 4 (four 9-hour days and one 4-hour day each week)
 

  • 50 characters left.
Required 12.

COMPRESSED WORKWEEKS
4/10s (four 10-hour days each week)
 

  • 50 characters left.
Required 13.

COMPRESSED WORKWEEKS
9/80s (eight 9-hour days and one 8 hour day each 2 weeks)
 

  • 50 characters left.
Required 14.

COMPRESSED WORKWEEKS
Other (please explain below)
 

  • 350 characters left.
Required 15.

TELEWORK/TELECOMMUTING
Telework Full Time
 

  • 50 characters left.
Required 16.

TELEWORK/TELECOMMUTING
Telework at least one day each workweek
 

  • 50 characters left.
Required 17.

TELEWORK/TELECOMMUTING
Telework less than 1 day/week but at least one day each month
 

  • 50 characters left.
Required 18.

OTHER FLEX OPTIONS
For other flex options not described above, please explain below and state percentage of employees using this option
 

  • 350 characters left.
Required 19.

None
Percentage of employees not using one of the above options
 

  • 50 characters left.
Required 20.

Does your organization periodically evaluate its flexible work options in order to make revisions to the program based on what was learned from the evaluation?
Yes
No