Name

We'd love for you to share your name, if you prefer to remain anonymous, we totally understand!

First Name

Last Name

How familiar are you with menopause support services in the workplace? *

I'm not aware of any

I've heard of it

I've inquired about it

I've utilized it

How interested would you be in a program that helps create a menopause-inclusive workplace?

Not interested

Open to the idea

Interested

Definitely interested

What features would you find most valuable in a menopause wellness program? *

Menopause Awareness & Destigmatization

Policy Development & Implementation

Workplace Accommodations

Health & Wellness Support

Manager & Colleage Training

Career Development & Retention

Personal Support & Education Options

Other

What level of investment would you or your employer be willing to invest in a comprehensive menopausal support program? *

0 to $150 /person

$150 to $350 /person

$350 to $550 /person

$550 +

Where would you prefer to access menopause support services? (e.g., in-person at work, online, hybrid) *

In person at work

Online

Hybrid

Collaboratively

How important is having a menopause-inclusive workplace to you *

It's not important

It's mildly important

It's important

How important is the flexibility of accessing services to you? *

It's not important

It's mildly important

It's important

How interested would you be in personalized menopause coaching services? *

Not interested

Open to the idea

Interested

Definitely interested

Have you discussed menopause symptoms with a manager or equivalent at work?

Yes

No

Would you be interested in menopause information being provided through your workplace?

Yes

No