We want to hear from you!

As you know, this year we will be renegotiating our collective bargaining agreement with Balboa Naval Medical Center. The agreement expires on July 30, 2019.

In order for your negotiating team to best represent your interests, we need your input. Please complete this survey by Monday, May 27.

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* 1. NAME

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* 2. HOME PHONE #

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* 3. CELL PHONE #

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* 4. HOME EMAIL

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* 5. UNIT/DEPARTMENT

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* 6. Building #

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* 7. Building Address

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* 8. SHIFT
Please select the response that pertains to you

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* 9. HOURS IN A SHIFT
Please select the response that pertains to you

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* 10. STATUS
Please select the response that pertains to you

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* 11. SERVICE
Please select the response that pertains to you

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* 12. What is your date of hire?

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* 13. What is your RN license date? (the date you were first licensed in California)

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* 14. What is your RN license number?

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* 15. ISSUES THAT MATTER TO YOU
Please describe your most important concern you would like addressed in bargaining

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* 16. ISSUES THAT MATTER TO YOU
Please describe your second most important concern you would like addressed in bargaining

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* 17. ISSUES THAT MATTER TO YOU
Please describe your third most important concern you would like addressed in bargaining

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* 18. ISSUES THAT MATTER TO YOU
Please describe your fourth most important concern you would like addressed in bargaining

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* 19. ISSUES THAT MATTER TO YOU
Please describe your fifth most important concern you would like addressed in bargaining

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