1.

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* 1. What is the size of your organization?

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* 2. What is your organization's type?

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* 3. What are your type of shifts?

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* 4. Do you have shift differentials? (For example, 8/10/12 vs. 24?)

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* 5. Check all of the employees who are subject to an hourly rate.

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* 6. Check all of the employees who are subject to an annual rate.

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* 7. Do you provide any stipends? (For example, mobile phone for employees.) Please specify which stipends for which employees in the box below.

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* 8. Is your stipend pay included in your overtime rate?

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* 9. Does your organization provide retirement in the form of a 401K or 475B?

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* 10. If you provide retirement, what is the percentage and match?

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* 11. What is your medical insurance policy for employees?

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* 12. Do you provide dental?

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* 13. Do you provide vision?

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* 14. Do you provide short-term disability?

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* 15. Do you provide long-term disability?

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* 16. Do you provide an EAP?

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* 17. If you provide an EAP, is the EAP specialized in EMS?

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* 18. Do you provide PTO?

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* 19. If you provide PTO, please tell us how much.

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* 20. Do you provide vacation time?

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* 21. If you provide vacation time, how much?

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* 22. Do you provide sick leave?

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* 23. If you provide sick leave, how much?

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* 24. Do you provide personal time?

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* 25. If you provide personal time, how much?

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* 26. If you provide time off, do you have different accrual rates for shifts? (For example, 8/10/12 vs. 24.)

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* 27. If you have different accrual rates for shifts, please specify.

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* 28. Does your organization provide uniforms to your employees?

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* 29. If you don't provide uniforms, what is your uniform allowance (if any)?

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* 30. Does your organization provide "in-house" CEs?

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* 31. Does your organization pay for external CEs, such as those provided at TEMSA's EMS EVOLUTION or the Texas EMS Conference in November?

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* 32. Does your organization provide online CE for employees?

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* 33. Provide your name, agency, and e-mail address in case we need to follow up. We cannot include your data if you do not include your EMS agency and e-mail address. Your answers will remain confidential.

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