Exit this survey Providence VNA Negotiations 2011 VNA Home Health Care Services Contract Negotiation Survey 2011 Please choose the response which indicates the issue’s importance to you and feel free to add any additional comments or concerns for the Negotiating Team. Question Title * 1. Wage Increase Not Important Important Essential Question Title * 2. Wage indicate what % you would like for the first year indicate what % you would like for the second year indicate what % you would like for the third year Question Title * 3. Indicate the issue's importance to you Not Important Important Essential Benefit Package (Medical, Dental, Vision, Retirement) Benefit Package (Medical, Dental, Vision, Retirement) Not Important Benefit Package (Medical, Dental, Vision, Retirement) Important Benefit Package (Medical, Dental, Vision, Retirement) Essential Holidays, Vacation, Sick Leave Holidays, Vacation, Sick Leave Not Important Holidays, Vacation, Sick Leave Important Holidays, Vacation, Sick Leave Essential Weekend Premium Weekend Premium Not Important Weekend Premium Important Weekend Premium Essential Shift Differential Shift Differential Not Important Shift Differential Important Shift Differential Essential Charge Nurse Premium Charge Nurse Premium Not Important Charge Nurse Premium Important Charge Nurse Premium Essential On Call Premium On Call Premium Not Important On Call Premium Important On Call Premium Essential On Call and Night On Call On Call and Night On Call Not Important On Call and Night On Call Important On Call and Night On Call Essential Productivity Productivity Not Important Productivity Important Productivity Essential Issues you would like addressed. Question Title * 4. Additional Comments or Areas of Concern: Question Title * 5. I am willing to help: Make phone calls Put information in mailboxes Collect email addresses Question Title * 6. To achieve changes to the contract, I am willing to (check all that apply): Wear ribbons or stickers Put a sign in my car Sign a petition or letter Informational picket (this is not a strike, done on your time off) Question Title * 7. Vital Statistics Name: Address: City: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Phone: FTE: Years at VNA: Question Title * 8. Member of WSNA Yes No If not, why? Thank You For Your Time! Done