Chino Valley RN Bargaining Survey

Tell Us About You

The Chino Valley Medical Center's RN Bargaining/Negotiating Team that you will elect will need your help in preparing for negotiations with CVMC 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 shard and readily available.

All individual answers will remain confidential.

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* 1. Name

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* 2. Home Email

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* 3. Home Phone Number

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* 4. Cell Phone Number

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* 5. Years in Nursing

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* 6. Base Wage Rate

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* 7. Wage Rate with Differential

Tell Us About Where and When You Work

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* 8. Years of Service at CVMC

1 year or less

2 years

3-5 years

6-10 years

11-15 years

16-20 years

21-25 years

26+ years

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* 9. Unit

ICU

Tele

Med/Surg

Other (please specify)

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* 10. Status

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* 11. Schedule

Other (please specify)

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* 1. Name

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* 2. Home Email

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* 3. Home Phone Number

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* 4. Cell Phone Number

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* 5. Years in Nursing

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* 6. Base Wage Rate

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* 7. Wage Rate with Differential

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* 8. Years of Service at CVMC

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* 9. Unit

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* 10. Status

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* 11. Schedule

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* 12. Shift