Please fill out this survey as accurately as possible. All responses will be confidential.

Each year, every agency has the right to meet with management and discuss staffing levels for the next year in preparation for the agency's budgeting process. The information you provide will go directly to the union to help us present data from front-line employees, like you, at that meeting. We will keep survey responses confidential, please fill out your name and contact information so we can follow up with you.

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* 1. Please fill out your name and contact information so we can follow up with you.

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* 2. Are you interested in getting more involved with your union? Check below if you would be willing to respond to surveys and discuss your answers in the future as we continue negotiating with management. Please enter a personal email in the field below. 

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* 3. How safe do you feel at work?

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* 4. How safe do you feel the patients are on your unit?

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* 5. Is the training you receive adequate in keeping you safe?

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* 6. When a code is called on your unit, do you feel like you have enough staff to respond safely? 

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* 7. Do you feel you have enough of a security presence in your facility?

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* 8. Do you feel management is trying to make your facility safer?

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* 9. Do you feel you have enough staff to provide quality care safely?

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* 10. To make our patients and ourselves safer, should we ask administration for:

  Yes No  Maybe
Better Pay
Better Training
More frequent training
More Staff
More Security Staff on the Units

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* 11. We are collecting more information on assaults in state facilities. Please fill out this information as honestly as possible. Your responses will be kept confidential.

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* 12. AFSCME is working to show management, legislators and community members how low state salaries impact staffing levels and hurt the quality of services we provide. We want to use this data to show how low salaries impact Maryland Public Employees. Please answer these questions as they apply to you (your responses will be kept confidential).

  I have in the past but over a year ago. I have within the last year.  I do, currently.
Have you ever had to work a part-time or second job to pay your bills?
Have you received any financial assistance from the state (i.e. Temporary cash assistance, food stamps, etc.)?
Have you received medical assistance from the state instead of state health benefits?

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* 13. AFSCME is also working to show why the State of Maryland needs to hire more staff. We want to use this data to show how filling vacancies and hiring more staff would improve Maryland's public services and help retain quality employees. Please answer these questions as they apply to you (your responses will be kept confidential).

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