First Name
*
Last Name
*
Email
*
Job Title
*
Company or Organisation
*
CEO contact, if different from above
First Name
Last Name
CEO email
Number of Employees
*
Sole operator
1-10
10-20
20-50
50-100
100-250
250-500
500+
Industry
*
Please choose one
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Academic/Education
Building/Manufacturing
Community Organisation
Consulting
Defense/Police
Energy
Engineering
Farming/Agriculture
Financial
Food
Government
Healthcare/Medical
HR/Recruitment
Insurance
Legal
Logistics
Marketing/Comms/Digital
Media
Non-Profit
Property
Retail
Sport
Tech/IT
Telco
Travel/Tourism
Other
Country
*
Please choose one
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United States
United Kingdom
New Zealand
Australia
Ireland
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic (CAR)
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (formerly Swaziland)
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
Nicaragua
Niger
Nigeria
North Korea
North Macedonia (formerly Macedonia)
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates (UAE)
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
City/County
*
Date started
*
MM
DD
YYYY
Do you work 4 days or reduced hours
*
4 days
Reduced hours
Something else, please describe
Did you run a trial?
*
Yes
No
How long was your trial
1-3 months
3-6 months
more than 6 months
Why did you start a 4 day week?
Give us a brief description of what motivated you to do this. Further down the form you will also have the ability to upload any files or add links to any blogs you have that talk about your story.
How did you get advice?
We are interested in who helped you decide on and activate your program. You can choose multiple options.
I read Andrew Barnes's book - The 4 Day Week
I read Alex Pang's book - Shorter
I downloaded the white paper here
I talked to someone from 4 Day Week or Alex Pang
I talked to other business owner doing it
Other - please explain
I got advice from ....
Type of 4 day week
Tell us about the type of 4 Day Week you do. Examples will be :- Is it a whole day off, which day, or do you reduce working hours across the week? Do you work 10 hour days so your hours are not reduced?
A bit about your people
Share with us a few demographics about your people, for example, gender, age ranges, do you come into the office or work remotely and anything else you think is great about would workplace.
Share with us one funny or interesting story from your experience.
Or more than one if you want!
Data and tracking
Do you record data to measure your success? And did you have an academic, or outside organisation help you with this?
What have been the key benefits?
*
Tell us a bit about how it has benefited your business and also share some staff stories, if you can.
What didn't work?
We often learn more from our mistakes. Do you have any examples of things you tried that didn't work?
Have you had any media attention already?
Add here any hyperlinks to news or other articles, including any blogs by you.
Would you like us to showcase your success?
*
Yes, I want to be part of the community and tell the world!
No, I just want to let you know and be part of the community
I'm not sure, talk to me more about this
Participation in further research
Would you like to join further academic research which will monitor success over time?
Yes
No
I'm not sure, talk to me more about this
Sharing your details on our community list
*
To create the community we have a list of business leaders who would like to share ideas with each other. Would you like us to add your details to this community list?
Yes
No
I'm not sure, talk to me more about this