1. Name

2. E-mail address

3. AFT local name. If not an AFT member, please skip to question 5.

4. Your position in AFT local

5. Name of College or University where you are employed

6. City were college/university is located

7. State where college/university is located

8. Are you a:

9. Has your institution reduced hours or cut course loads for contingent faculty, or is it planning to do so?

10. If hours have been reduced or course loads have been cut, please provide more detail

11. Has there been an official announcement of these cuts?

If an official announcement has been made, please email a copy or hyperlink to aftresearch@aft.org

12. If cuts have been made, has the institution blamed them on the Affordable Care Act?

13. Do you have a collective bargaining agreement that governs hours of work?

14. If cuts have been made, did the institution negotiate with the union over the cuts in hours and/or course load?

15. Do you have the opportunity to purchase insurance coverage through the employer's group plan?

16. How many hours or how many courses do you have to work to be eligible for that coverage?

17. If you have health coverage through your employer, what is your monthly premium payment?

18. What type of health coverage do you have through your employer?

19. If you do not have health coverage through your employer, where is your coverage from?

20. Please feel free to add additional comments