The information collected is for the purpose of addressing your needs at work and will be treated as confidential. Please complete the survey by Tuesday 4 October.

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* 1. First Name

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* 2. Last Name

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* 3. Age

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* 4. Mobile

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* 5. Email

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* 6. Worksite

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* 7. Would you like to receive HACSU information?

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* 8. What is your position/job title?

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* 9. Do you have access to alternative pathways to raising any issues you have with your supervisor or with management?

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* 10. Do you feel that when you raise issues, they are dealt with in a timely manner?

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* 11. Do you feel that you are being consulted when a change is occurring in your place of work (e.g. rostering change or new uniforms)?

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* 12. Do you have access to Employee Assistance Program and know where to find information about it?   

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* 13. Are there any bullying issues occurring within the workplace?

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* 14. Are there any work health and safety issues you feel have not been dealt with?

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* 15. Do you do much overtime?     

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* 16. Do you feel you are rostered to work too much?       

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* 17. How often do you feel highly stressed from your job?

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* 18. Are any issues at work affecting your personal life outside of work?

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* 19. How do you feel you are treated by management and your fellow work colleagues?

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