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* 1. First Name

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* 2. Last Name

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* 3. Job Title

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* 4. Email

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* 5. Home Phone

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* 6. Cell Phone*

*By providing my phone number, I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.
It's a critical time for hospitals in our region. It is incredibly important that we take positive steps to help transform the delivery of healthcare in NEPA. We need to hold all of our hospitals to a better standard, starting right here at RHS. We can help move area hospitals forward by making sure our own is one that best serves our community by offering good, stable jobs and the highest quality of care available in our region. Please fill out this survey and help us to set priorities to guide us in achieving our goals.

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* 7. Which of the following issues are the most important when it comes to holding NEPA hospitals accountable to our community? Choose three.

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* 8. Which of these issues is the most important to you? What does it look like? (For instance, if you chose safe staffing, what is it about staffing you would like to see improved?)

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* 9. Is the current pay scale adequate to recruit skilled employees in your unit or department?

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* 10. How have staffing levels changed since our last contract?

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* 11. What is the biggest issue RHS and other hospitals across our region need to address?

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* 12. What do you think is the biggest factor in someone's decision to choose RHS for their care?

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* 13. Do you plan on leaving RHS anytime in the next year?

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* 14. If yes, what would keep you working here? (Please rank the following answers in order of preference. i.e. 1 is your most preferred; 6 is your least preferred.)

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* 15. If you have an issue that wasn't mentioned above, let us know here:

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