Form BLS Supplemental questions related to sick leave policies du

Supplemental questions related to sick leave policies during the Coronavirus pandemic

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The Bureau of Labor Statistics is looking to collect information regarding changes to
establishments’ sick leave policies during the Coronavirus pandemic. In addition to our regular
request, we are asking for your input on the following questions regarding your establishment’s sick
leave policy. Please contact [email protected] with questions. Thank you very much for providing
this vitally important information.

1. What influence has the Coronavirus pandemic had on your establishment’s sick leave policy?
(Select all that apply)
Created new plan(s)

Added paid days
Added paid time off/consolidated leave
Added unpaid days

Modified/extended existing plan(s)

Extended existing paid policy
Extended existing unpaid policy

____________________________________

No sick leave policy offered

Existing plan unchanged

Don’t know

2. Please provide more information about the changes to your company's sick leave policies due
to the Coronavirus pandemic. Do not include changes made for any other reason, such as the
Family Medical Leave Act (FMLA).
a. How many paid sick days were added?

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b. How many unpaid sick days were added?

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c. Are any of these changes to your establishment’s sick leave policy temporary?

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3. Which range best represents the average number of sick days taken per employee (including
those who took no sick leave) from March 1, 2020 through May 31, 2020? Do not include FMLA
days.

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Optional: If you have additional comments or would like to explain any of your responses please
do so here.

Schedule Number (required - see email)

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