VSEA Contact-Traced Leave Survey

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* 1. Name

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* 2. Job Title

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* 3. Were you told to quarantine due to a COVID-19 exposure at work as a result of contact tracing?

Yes

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* 4. Date you learned you were exposed to COVID-19 at work through contact tracing:

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* 5. Date you were told you had to quarantine:

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* 6. Number of days you were directed to quarantine:

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* 7. Were you symptomatic at the time you were directed to quarantine?

Yes

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* 8. Did you have enough paid sick leave to cover that quarantine period?

Yes

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* 9. How many sick leave hours did you use for that quarantine period related to COVID-19 exposure at work?

If you did not have enough paid sick leave to cover your quarantine period, how many hours of the following leave did you use for that quarantine period:

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* 10. Annual Leave:

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* 11. Comp Time:

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* 12. Personal Leave:

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* 13. Off Payroll:

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* 14. If you have been forced to use your own paid leave time or were forced to go off payroll due to work-related exposure to COVID-19, do you want to be included in a class action grievance filed by VSEA?

Yes

Prior to October 1, 2021

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* 15. Prior to October 1, 2021, were you told to quarantine as a result of being contact traced due to work-related exposure to COVID-19?

Yes

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* 16. If yes, were you placed on paid administrative leave for that quarantine period?

Yes

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* 17. Prior to October 1, 2021, were you aware of colleagues who had been contact traced as having a COVID-19 work-related exposure?

Yes

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* 18. If yes, do you know if they were put on paid administrative leave for the quarantine period due to work-related exposure to COVID-19?

Yes

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* 19. Were you required to take sick leave annual leave or unpaid leave for any period when you were medically cleared to work but directed to not report to work due to COVID-related quarantine or other related measures?

Yes

VSEA Contact-Traced Leave Survey

Question Title

* 1. Name

Question Title

* 2. Job Title

Question Title

* 3. Were you told to quarantine due to a COVID-19 exposure at work as a result of contact tracing?

Question Title

* 4. Date you learned you were exposed to COVID-19 at work through contact tracing:

Question Title

* 5. Date you were told you had to quarantine:

Question Title

* 6. Number of days you were directed to quarantine:

Question Title

* 7. Were you symptomatic at the time you were directed to quarantine?

Question Title

* 8. Did you have enough paid sick leave to cover that quarantine period?

Question Title

* 9. How many sick leave hours did you use for that quarantine period related to COVID-19 exposure at work?

Question Title

* 10. Annual Leave:

Question Title

* 11. Comp Time:

Question Title

* 12. Personal Leave:

Question Title

* 13. Off Payroll:

Question Title

* 14. If you have been forced to use your own paid leave time or were forced to go off payroll due to work-related exposure to COVID-19, do you want to be included in a class action grievance filed by VSEA?

Question Title

* 15. Prior to October 1, 2021, were you told to quarantine as a result of being contact traced due to work-related exposure to COVID-19?

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* 16. If yes, were you placed on paid administrative leave for that quarantine period?

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* 17. Prior to October 1, 2021, were you aware of colleagues who had been contact traced as having a COVID-19 work-related exposure?

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* 18. If yes, do you know if they were put on paid administrative leave for the quarantine period due to work-related exposure to COVID-19?

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* 19. Were you required to take sick leave annual leave or unpaid leave for any period when you were medically cleared to work but directed to not report to work due to COVID-related quarantine or other related measures?﻿

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* 20. If yes, when and explain.

* 19. Were you required to take sick leave annual leave or unpaid leave for any period when you were medically cleared to work but directed to not report to work due to COVID-related quarantine or other related measures?