HPAE Local 5131 Inspira RN Contract Survey

2018 HPAE CONTRACT SURVEY

With our contract expiring on May 31, 2019, our local is conducting a survey to take a close look at the current working conditions that you face every day. Your input and active participation in this process is vital to achieving a contract that represents your professional opinions. The completed survey will be carefully tabulated and the results will be used to develop proposals and strategies to improve your work environment and to improve patient care.

The information you provide in the contract survey will help the negotiating committee create contract proposals that fit our needs.

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* 1. Please provide us with your contact information

Name *

Email Address *

Cell/Home Phone Number

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* 2. Home phone

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HPAE Local 5131 Inspira RN Contract Survey

2018 HPAE CONTRACT SURVEY

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* 1. Please provide us with your contact information

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* 2. Home phone

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* 3. I give HPAE permission to send me text messages.

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* 4. Hospital Location

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* 5. Department/Unit

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* 6. Shift

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* 7. Shift Hours

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* 8. Employment Status