COVID-19 Member Survey Member Feedback Please complete the following survey so we can hear your concerns and better serve you during the COVID-19 pandemic. As a union, it is important for your union leadership to understand what needs you have. We are asking that all members complete the quick and easy survey to help us better assist you. Question Title * 1. Name Question Title * 2. Email Address Question Title * 3. Phone NumberNote: By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. Question Title * 4. Do you opt-in to receive calls or texts? Yes No Question Title * 5. Local 1 10 101 146 257 258 315 444 512 675 829 847 955 1684 2019 2167 2428 2620 2700 2703 3291 3916 3993 3254 3965 Question Title * 6. Employer Question Title * 7. Job Category(i.e. Public Works, Clerical/Administrative, Maintenance/Custodial, etc.) Question Title * 8. How has COVID-19 impacted your work situation? Working Regular Schedule Working Remotely Working Modified Schedule Forced or Mandated to Work Overtime Laid Off Other (please specify) Question Title * 9. If you are not working, have you been offered paid leave, unpaid leave, use of personal time or layoff? (Check all that apply) Paid Leave Unpaid Leave Use of Personal Time (sick, vacation, etc.) Laid Off N/A Other (please specify) Question Title * 10. How has COVID-19 impacted your work duties? No Impact; Regular Duties Minimal Impact; Some Change in Duties Minimal Impact; Change in Location Not Duties Major Impact; Major Change in Duties Other (please specify) Question Title * 11. How has your employer handled the COVID-19 crisis? (1=Terrible, 10=Excellent) 1 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 12. What could your employer do differently in response to COVID-19? Question Title * 13. What are your major concerns during the COVID-19 crisis? (Check all that apply) Exposure to individual(s) with COVID-19 Access to Food/Groceries Childcare Family Members with Health Issues Loss of Income Financial Health/Well-Being Physical Health/Well-Being Health at Work Access to Personal Protective Equipment (PPE) Other (please specify) Question Title * 14. What would you like to see Council 57 focus on during the COVID-19 crisis? (Check all that apply) Advocate for the health and safety of our members Communication with membership Increasing access to resources (healthcare, child care, food assistance, etc.) Legislative priorities (mortgage/rent relief, expanded sick leave benefits, unemployment insurance, etc.) Making sure employers are protecting employees and limiting risk of exposure Other (please specify) Question Title * 15. Would you be willing to share your story as a union member during the COVID-19 crisis? Yes No Done