Bargaining Survey - AFSCME Local 4041 EMS Workers United

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* 1. Contact Information

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Cell Phone Number

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* 2. I would like to receive text message updates from United EMS Workers – AFSCME Local 4041 (message & data rates may apply).

Yes

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* 3. What is your job title?

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* 4. What is your current REMSA status?

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* 5. Shift?

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* 6. How long have you been employed by REMSA

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* 7. Do you regularly work overtime in order to pay your bills?

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* 8. Do you work a second job outside of REMSA?

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* 9. Please mark each item according to your level of satisfaction.

	Very Satisfied	Somewhat Satisfied	Not Satisfied	Not Satisfied at All
Your job	Your job Very Satisfied	Your job Somewhat Satisfied	Your job Not Satisfied	Your job Not Satisfied at All
Health and safety	Health and safety Very Satisfied	Health and safety Somewhat Satisfied	Health and safety Not Satisfied	Health and safety Not Satisfied at All
Your wages	Your wages Very Satisfied	Your wages Somewhat Satisfied	Your wages Not Satisfied	Your wages Not Satisfied at All
Ability to to take time off	Ability to to take time off Very Satisfied	Ability to to take time off Somewhat Satisfied	Ability to to take time off Not Satisfied	Ability to to take time off Not Satisfied at All
Your workload	Your workload Very Satisfied	Your workload Somewhat Satisfied	Your workload Not Satisfied	Your workload Not Satisfied at All
Ambulances/Rigs	Ambulances/Rigs Very Satisfied	Ambulances/Rigs Somewhat Satisfied	Ambulances/Rigs Not Satisfied	Ambulances/Rigs Not Satisfied at All
Equipment	Equipment Very Satisfied	Equipment Somewhat Satisfied	Equipment Not Satisfied	Equipment Not Satisfied at All
Clear communication from managers	Clear communication from managers Very Satisfied	Clear communication from managers Somewhat Satisfied	Clear communication from managers Not Satisfied	Clear communication from managers Not Satisfied at All
Staffing	Staffing Very Satisfied	Staffing Somewhat Satisfied	Staffing Not Satisfied	Staffing Not Satisfied at All
Quality of service provided	Quality of service provided Very Satisfied	Quality of service provided Somewhat Satisfied	Quality of service provided Not Satisfied	Quality of service provided Not Satisfied at All
Training	Training Very Satisfied	Training Somewhat Satisfied	Training Not Satisfied	Training Not Satisfied at All
Respect from supervisors	Respect from supervisors Very Satisfied	Respect from supervisors Somewhat Satisfied	Respect from supervisors Not Satisfied	Respect from supervisors Not Satisfied at All
Feeling valued by your OPS manager	Feeling valued by your OPS manager Very Satisfied	Feeling valued by your OPS manager Somewhat Satisfied	Feeling valued by your OPS manager Not Satisfied	Feeling valued by your OPS manager Not Satisfied at All
Getting recognition for a job well done	Getting recognition for a job well done Very Satisfied	Getting recognition for a job well done Somewhat Satisfied	Getting recognition for a job well done Not Satisfied	Getting recognition for a job well done Not Satisfied at All

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* 10. Rank each of these according to your priorities 1 - 12 with 1 being your top priority:

	1	2	3	4	5	6	7	8	9	10	11	12
Investigation / Disciplinary procedure	Investigation / Disciplinary procedure 1	Investigation / Disciplinary procedure 2	Investigation / Disciplinary procedure 3	Investigation / Disciplinary procedure 4	Investigation / Disciplinary procedure 5	Investigation / Disciplinary procedure 6	Investigation / Disciplinary procedure 7	Investigation / Disciplinary procedure 8	Investigation / Disciplinary procedure 9	Investigation / Disciplinary procedure 10	Investigation / Disciplinary procedure 11	Investigation / Disciplinary procedure 12
Standardized work rules	Standardized work rules 1	Standardized work rules 2	Standardized work rules 3	Standardized work rules 4	Standardized work rules 5	Standardized work rules 6	Standardized work rules 7	Standardized work rules 8	Standardized work rules 9	Standardized work rules 10	Standardized work rules 11	Standardized work rules 12
Holdover & late call policy improvement	Holdover & late call policy improvement 1	Holdover & late call policy improvement 2	Holdover & late call policy improvement 3	Holdover & late call policy improvement 4	Holdover & late call policy improvement 5	Holdover & late call policy improvement 6	Holdover & late call policy improvement 7	Holdover & late call policy improvement 8	Holdover & late call policy improvement 9	Holdover & late call policy improvement 10	Holdover & late call policy improvement 11	Holdover & late call policy improvement 12
Call-in policy	Call-in policy 1	Call-in policy 2	Call-in policy 3	Call-in policy 4	Call-in policy 5	Call-in policy 6	Call-in policy 7	Call-in policy 8	Call-in policy 9	Call-in policy 10	Call-in policy 11	Call-in policy 12
Night shift differential	Night shift differential 1	Night shift differential 2	Night shift differential 3	Night shift differential 4	Night shift differential 5	Night shift differential 6	Night shift differential 7	Night shift differential 8	Night shift differential 9	Night shift differential 10	Night shift differential 11	Night shift differential 12
Retirement, 401K matching	Retirement, 401K matching 1	Retirement, 401K matching 2	Retirement, 401K matching 3	Retirement, 401K matching 4	Retirement, 401K matching 5	Retirement, 401K matching 6	Retirement, 401K matching 7	Retirement, 401K matching 8	Retirement, 401K matching 9	Retirement, 401K matching 10	Retirement, 401K matching 11	Retirement, 401K matching 12
Job training/Paramedic Sponsorship	Job training/Paramedic Sponsorship 1	Job training/Paramedic Sponsorship 2	Job training/Paramedic Sponsorship 3	Job training/Paramedic Sponsorship 4	Job training/Paramedic Sponsorship 5	Job training/Paramedic Sponsorship 6	Job training/Paramedic Sponsorship 7	Job training/Paramedic Sponsorship 8	Job training/Paramedic Sponsorship 9	Job training/Paramedic Sponsorship 10	Job training/Paramedic Sponsorship 11	Job training/Paramedic Sponsorship 12
Healthcare coverage, plans, costs reduction	Healthcare coverage, plans, costs reduction 1	Healthcare coverage, plans, costs reduction 2	Healthcare coverage, plans, costs reduction 3	Healthcare coverage, plans, costs reduction 4	Healthcare coverage, plans, costs reduction 5	Healthcare coverage, plans, costs reduction 6	Healthcare coverage, plans, costs reduction 7	Healthcare coverage, plans, costs reduction 8	Healthcare coverage, plans, costs reduction 9	Healthcare coverage, plans, costs reduction 10	Healthcare coverage, plans, costs reduction 11	Healthcare coverage, plans, costs reduction 12
Vacation & PTO usage and banking	Vacation & PTO usage and banking 1	Vacation & PTO usage and banking 2	Vacation & PTO usage and banking 3	Vacation & PTO usage and banking 4	Vacation & PTO usage and banking 5	Vacation & PTO usage and banking 6	Vacation & PTO usage and banking 7	Vacation & PTO usage and banking 8	Vacation & PTO usage and banking 9	Vacation & PTO usage and banking 10	Vacation & PTO usage and banking 11	Vacation & PTO usage and banking 12
Wages, pay scale, COLA, retro pay	Wages, pay scale, COLA, retro pay 1	Wages, pay scale, COLA, retro pay 2	Wages, pay scale, COLA, retro pay 3	Wages, pay scale, COLA, retro pay 4	Wages, pay scale, COLA, retro pay 5	Wages, pay scale, COLA, retro pay 6	Wages, pay scale, COLA, retro pay 7	Wages, pay scale, COLA, retro pay 8	Wages, pay scale, COLA, retro pay 9	Wages, pay scale, COLA, retro pay 10	Wages, pay scale, COLA, retro pay 11	Wages, pay scale, COLA, retro pay 12
Trade/giveaways	Trade/giveaways 1	Trade/giveaways 2	Trade/giveaways 3	Trade/giveaways 4	Trade/giveaways 5	Trade/giveaways 6	Trade/giveaways 7	Trade/giveaways 8	Trade/giveaways 9	Trade/giveaways 10	Trade/giveaways 11	Trade/giveaways 12

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* 11. What do you believe the appropriate hourly rate should be for EMT's as a new hire?

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* 12. What do you believe the appropriate hourly rate should be for EMT's at 5 years?

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* 13. What do you believe the appropriate hourly rate should be for a Paramedic as a new hire?

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* 14. What do you believe the appropriate hourly rate should be for a Paramedic at 5 years?

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* 15. Do you have media, political, or other community connections? (Ex. friend works with newspaper, family member on city council) If so, please list:

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* 16. Your ideas and input will help considerably to get a good contract. Please share below other issues you believe need to be covered in negotiations:

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* 17. Success requires commitment. To help address the issues mentioned above, I am willing to (check all that apply):

Attend union meetings with my coworkers to discuss building a better future at REMSA.

Wear a union sticker or button showing solidarity with my coworkers.

Distribute union literature to update and educate my coworkers.

Serve as a union squad leader to engage my coworkers in union activities.

Serve as a union steward or “go-to person” when my coworkers need support and representation.

Serve as a union bargaining team member to negotiate wages, benefits, and working conditions with management.

Educate the public about our union efforts to improve EMS for our communities.

Contribute my skills in writing, web design, video editing, and/or public speaking.