Pharmacy Connect Job Negotiation Questionnaire Personal Details Question Title * 1. Where did you hear about this? e.g. Email, Facebook, LinkedIn, Referral Question Title * 2. Personal Details Firstname Lastname Personal e-mail address Work e-mail address Cell no (personal) Question Title * 3. Which Pharmacy Professional are you? Pharmacist (post community service) Community Service Pharmacist Pharmacist intern Post Basic (PBPA) Learner Post Basic (LPBPA) Basic (BPA) Learner Basic (LBPA) Pharmacy Technician Pharmacy student Other (please specify) Question Title * 4. In relation to other pharmacy professionals with similar experience and qualifications in your area, is your salary Lower than what other pharmacy professionals are receiving Higher than what other pharmacy professionals are receiving The same as what other pharmacy professionals are receiving Don't know Question Title * 5. In relation to other pharmacy professionals with similar experience and qualifications in your area, are your benefits Lower than what other pharmacy professionals are receiving Higher than what other pharmacy professionals are receiving The same as what other pharmacy professionals are receiving Don't know Question Title * 6. Do you believe that you are eligible for a salary increase, promotion, additional benefits that you have not received? Definitely yes Possibly yes No Don’t know Question Title * 7. Would you be interested in getting assistance from Pharmacy Connect to negotiate a salary increase, promotion, or additional benefits? Definitely yes Possibly yes No Don’t know Question Title * 8. If these negotiations are unsuccessful, would you be interested in getting assistance from Pharmacy Connect to find another job? Definitely yes Possibly yes No Don’t know Done