Consultative Survey for Unite Members Offshore Question Title * 1. Contact Details Name Address Address 2 City/Town Post Code Email Address Phone Number Facebook User? Unite Membership Number: Question Title * 2. Your Work Job Title Company Client Current Rig/installation How long have you worked on that rig? Question Title * 3. Can you confirm which category below best applies to you I am a permanent relief worker with a permanent contract of employment but with an express mobility clause which permits my employer to deploy me at any installation; so i have no fixed premises at which I work I am an ad hoc worker on a zero hours contract. I have no permanent platform. I am assigned to whichever platform the employer deems necessary. I am only paid when working offshore. I am a field team worker. As such I have no permanent platform but am assigned to a 'field' containing a number of platforms. I can be required to work at any platform within this field at any time. Other (please specify) Question Title * 4. More about your work Current shift rota, e.g 2x2, 2x3... What date are you due to go back offshore Heliport you fly from Question Title * 5. Unite is consulting with members to ensure we are able to fight the changes to pay and terms and conditions in the most effective way possible. What imposed changes are you facing and what are your main concerns? Is there any specific information you want from your union? What is the best way to keep you updated about our campaign? Question Title * 6. Unite is consulting with members to ensure we are able to fight the changes to pay and terms & conditions in the most effective way possible. Have you been informed of any changes to your contract being implemented right now? Yes No Not applicable Question Title * 7. Has the company served notice on you? Yes No Question Title * 8. What are the changes and what are you most concerned about? Question Title * 9. What Health and Safety concerns do you have about the changes being made in the offshore industry? Question Title * 10. Unite are consulting members offshore about the types of industrial action that could be taken to cause maximum impact. We can arrange to call members to discuss this. Would you like to discuss this further with a Unite organiser? Yes No The best time to call me is: Question Title * 11. Do you have a Unite Rep or activist on your installation? Yes No Unsure If Yes, what are their names? Question Title * 12. Would you be willing to assist the Unite campaign offshore? Yes No Question Title * 13. What further information, if any, would you like from your union offshore? Question Title * 14. What is the best way to keep you updated about the campaign? Text Phone Email Social Media Post If you've specified social media, please let us know your user names on Facebook and/or Twitter: Question Title * 15. Any further comments? Done