A Little Bit About You

Thank you for taking our survey! The information collected will be used to see how we are doing, with the aim to improve our connection with members.

To enter the contest for a chance to win $1,000 in PC Gift Cards, please provide your name and contact details – if you'd prefer to provide an anonymous survey, simply leave those fields blank. 

The survey and draw is open to current members of UFCW Canada Local 1006A.

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* 1. First Name

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* 2. Last Name

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* 3. Workplace (Include Location if Applicable):

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* 4. Cellphone Number

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* 5. Home Number

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* 6. Email

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* 7. How old are you?

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* 8. How do you identify?

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* 9. Job Status?

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* 10. How long have you worked with your current employer?

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* 11. What sector do you work in?

Quick Definitions to help with the next couple of questions:

Union Representatives are employed by your union to represent members at multiple workplaces throughout the province.

Union Stewards are members who work with you and volunteer their time to answer members questions and troubleshoot problems.

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* 12. Do you know who your full-time Union Representative is?

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