* 1. First Name

* 2. Last Name

* 3. Email address

* 4. Cell Phone Number

* 5. Accept Text Messages

* 6. Where do you work?

* 7. Years of service

* 8. Group Status

* 9. What hours do you normally work?

* 11. Please list in order the three (3) issues that are most important to you to be addressed in the new contract? (1 being most important)

* 12. Are there any OTHER important issues you would like addressed in the new contract? (Please be specific)

* 13. Are you currently working in a premium position?

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