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2023 Bargaining Survey For State BU16

The following survey will take about five minutes to complete. You are encouraged to use the comment boxes to further develop your ideas for the Bargaining Team.

Question Title

Contract Priorities
Rate the following issues between 1 and 10 based on priority (1 being most important, 10 being least):

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What other issues would you like to see addressed in the contract negotiations?

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I want to win a fair contract and will fight for it. I will:

Encourage my medical director/managers and co-workers to sign letters of support for better wages, working conditions, and patient care

Participate in stakeholder group highlighting issues at my facility

Inform and mobilize my colleagues around the contract campaign

Participate in an informational picket

Attend a virtual townhall highlighting state issues

Other (please specify):

BACKGROUND INFORMATION

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Your Name: (Required.)

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Your Degree: (Required.)

D.D.S.

D.O.

D.P.M.

M.D.

Other (please specify)

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Your Classification/Job Title: (Required.)

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Your Department: (Required.)

California Department of Corrections and Rehabilitation (CDCR)

Department of Developmental Services (DDS)

Department of Health Care Services (DHCS)

Department of Public Health (DPH)

Department of Social Services (DSS)

Department of State Hospitals (DSH)

Department of Veterans Affairs (DVA)

Other (please specify)

2023 Bargaining Survey For State BU16

Question Title

Contract Priorities
Rate the following issues between 1 and 10 based on priority (1 being most important, 10 being least):

Question Title

What other issues would you like to see addressed in the contract negotiations?

Question Title

I want to win a fair contract and will fight for it. I will:

Question Title

Your Name: (Required.)

Question Title

Your Degree: (Required.)

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Your Classification/Job Title: (Required.)

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Your Department: (Required.)

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Your Work Site: (Required.)

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Personal (Non-Work) E-mail Address:

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Your Cell or Home Phone Number:

2023 Bargaining Survey For State BU16

Question Title

* Contract PrioritiesRate the following issues between 1 and 10 based on priority (1 being most important, 10 being least):

Question Title

* What other issues would you like to see addressed in the contract negotiations?

Question Title

* I want to win a fair contract and will fight for it. I will:

Question Title

* Your Name: (Required.)

Question Title

* Your Degree: (Required.)

Question Title

* Your Classification/Job Title: (Required.)

Question Title

* Your Department: (Required.)

Question Title

* Your Work Site: (Required.)

Question Title

* Personal (Non-Work) E-mail Address:

Question Title

* Your Cell or Home Phone Number:

Contract Priorities
Rate the following issues between 1 and 10 based on priority (1 being most important, 10 being least):

What other issues would you like to see addressed in the contract negotiations?

I want to win a fair contract and will fight for it. I will:

Your Name: (Required.)

Your Degree: (Required.)

Your Classification/Job Title: (Required.)

Your Department: (Required.)

Your Work Site: (Required.)

Personal (Non-Work) E-mail Address:

Your Cell or Home Phone Number: