* 1. First Name:

* 2. Last Name:

* 3. Personal Email Address:

* 4. Personal Cell Phone Number:

* 5. Would you like to receive text messages about Census Bureau issues?

* 6. Would you like to receive robocalls about Census Bureau issues?

* 7. Work Location:

* 8. Zip Code:

* 9. Are you a veteran?

Committee Meetings

* 10. To organize our area, we want to make sure that more members are able to attend our phone conferences and meetings every other week on Thursday meetings (on the phone). What time is best for you?

Organizing Questions

We are organizing with AFGE to ensure that our members have the best working conditions that they can. Below are some questions about your work and any issues that you would like us to address.
On Safety

* 11. Do you feel safe in your workplace?  Have you ever felt pressured to work in unsafe conditions, like inclement weather, unsafe neighborhoods or households, etc?

On scheduling & and leave

* 12. Do you feel that the scheduling of employees at your worksite is fair and equitable?  Have you ever had your workload reduced under unfair circumstances?

* 13. Do you face any issues in your scheduling, workload, or in requesting leave?

* 14. Have you ever been asked to work a Holiday and been denied Holiday Pay?

On Performance Standards & Evaluation

* 15. Do you feel that your workplace and your superiors have a fair, equitable and consistent system for evaluating workplace performance?

* 16. Do your superiors use ratings or performance evaluations negatively against employees?

* 17. Have you ever lost benefits because your status (i.e. full-time, part-time, intermittent) has been changed?

* 18. Have you ever had your production goals dramatically advanced without notice?

* 19. What aspect of your employment do you consider to be the most unfair?

* 20. In your opinion, what is the most important issue for which our union should fight?