Exit NSW Floods 2022 Question Title * 1. Where do you live? Question Title * 2. What is your job? Question Title * 3. Which sector do you work in? Aged care Ambulance Disability Private Health Public Health Question Title * 4. Are you a member of the Health Services Union? Yes No No, but I would like to join Question Title * 5. Was your home affected by the NSW floods? Yes- I lost my home Yes- there was extensive damage to my home Yes- there was some damage to my home No- there was no damage to my home Other (please specify) or add any comments here Question Title * 6. Have you or a member of your household experienced any injury as the result of the floods? No Yes (please specify) Question Title * 7. How would you describe disaster-planning for your local area? Excellent Adequate Inadequate Non-existent Please enter any comments here Question Title * 8. How would you describe disaster-planning for your workplace? Excellent Adequate Inadequate Non-existent Please enter any comments here Question Title * 9. How would you describe your employer’s response to problems caused by the floods? Excellent Adequate Inadequate Non-existent Please enter any comments here Question Title * 10. How have your working arrangements been affected by the NSW floods? Check as many as apply I was unable to work due to an injury/caring responsibilities I was unable to work due to extensive workplace damage I was unable/ had limited ability to work due to road/transport issues I was unable to work due to extensive damage to my home and property My duties were disrupted due to workplace damage My duties were disrupted due to flood-related staff shortages My duties were disrupted due to supply shortages My duties were disrupted due to communications issues Other/comment Question Title * 11. How would you say the flooding has affected health services in your area? Question Title * 12. Have you made any insurance claims relating to the floods? No Yes (please specify) Question Title * 13. Have you applied for Australian Government Disaster Recovery Payment? Yes, and was successful Yes, but was unsuccessful Yes, application is pending No – too much paperwork No – not in eligible area Please enter any comments here Question Title * 14. Have you applied for any other financial assistance? No Yes, and was approved (please specify) Yes, but was denied (please specify) Details/comments Question Title * 15. Did you make any requests for emergency assistance (other than financial assistance) relating to the floods? No Yes (please describe) Question Title * 16. Would you be prepared to discuss these issues further with a member of the union's research staff? No Yes Question Title * 17. Pease enter your contact details Name Workplace Email Address Phone Number Done
