This design features a graphic design with a white background and black text. At the top, there are three checkboxes with the words "SINGLE," "TAKEN," and "TAKING A BREAK" written above them. Below the checkboxes, there is a larger text that reads "TAKING A BREAK" with a red "X" in the middle of the word "TAKING." The style of the image is simple and appears to be a digital creation or a mock-up for a survey or questionnaire.