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* 1. Personal Information

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* 2. How would you like to receive bargaining updates and important information?

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* 3. What do you like about working at Maui Health?

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* 4. What is most challenging about working at Maui Health?

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* 5. In the last 2 years have you considered leaving Maui Health?

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* 6. If so, Why?

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* 7. In the last 2 years, approximately how many of your coworkers in your department have left Maui Health?

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* 8. Do you know if they sought employment with another health care provider?

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* 9. Do you volunteer anywhere in the community?

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* 10. If so, where?

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* 11. Are you active in any social, community, or religious organizations?

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* 12. If so, which organizations?

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* 13. What are your favorite community/family events/traditions?

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* 14. Do you have any relationships with current or former elected officials?

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* 15. If so, who?

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* 16. Do you know how to access your contract on https://memberlink.unacuhcp.org/

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* 17. Do you know how to fill out an Assignment Objection Form? (If No, please ask your Chapter Representative for help!)

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* 18. Plan to Win: If we are going to win the wages we deserve, we will need to stand together. What are you willing to do to win? Check all that apply.

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* 19. Do you have any ideas for collective action to demonstrate our strength and unity to Maui Health System?

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