UWMC NW Self-Scheduling Survey

This survey will help us learn how the potential change might affect your workplace and personal time.

It is important for everyone to complete so we can determine what best represents the needs of all our bargaining unit.

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* 1. Contact information:

First Name

Last Name

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* 2. Unit

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* 3. FTE

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* 4. Cell phone

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* 5. Personal email

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* 6. Are you a member?

Yes

I don't know

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* 7. Do you have a patterned or variable schedule:

Patterned

Variable

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* 8. How many years have you worked at UWMC NW:

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* 9. How would you like self-scheduling to be done:

Seniority based

Rotation based

First come, first served

Other (please specify)

Questions? Please contact your WSNA nurse representative, Stephenie Troftgruben, BSN, RN, at stroftgruben@wsna.org .