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1. Tell Us About Where and When You Work

The Beverly Community Hospital (BCH) RNs Bargaining/Negotiating Team that you will elect will need your help in preparing for negotiations with BCH management. Please take a few minutes to complete this survey, so that we may focus on the issues that are most important to all of us. After the survey is tabulated, information on the results will be disseminated and be readily available. If you work in a non-patient care area, please try to apply the questions to your area and job responsibilities.

All individual answers will remain confidential.

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* 1. Members who complete this survey will receive a free UNAC/UHCP scrub top! Please choose your size preference.

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* 2. Name

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* 3. Home Phone

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* 4. Cell Phone

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* 5. Home Email

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* 6. Years as RN

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* 7. Years of RN Service at BCH

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* 8. Base Wage Rate

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* 9. Wage Rate with Differential

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* 10. Where do you work?

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* 11. Status

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* 12. Schedule

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* 13. Shift

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* 14. Service

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* 15. I am interested in representing my unit on the Negotiating Team.

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* 16. I am interested in running for elected office.

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