Lakewood 2019 Bargaining Survey

Our contract expires on May 5, 2019 and we are preparing for negotiations now.

The Bargaining Team (BT) will use your survey answers as a guide in developing proposals for negotiations. Every RN needs to fill out the survey to ensure your voice is heard.

Please rate the following issues on a scale of 1 to 4. It is important that you make distinctions between items. If you respond “extremely important” to every question, we will not know what issues are relatively more important to you. Please reserve “extremely important” for those items which are truly extremely important – this will give those responses more weight.

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* 1. NAME

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* 2. HOME PHONE #

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* 3. CELL PHONE #

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* 4. HOME EMAIL

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* 5. BARGAINING ISSUES
For each issue please select the response that represents your answer

	Extremely Important	Very Important	Somewhat Important	Not Very Important
1. Improve staffing by patient acuity	1. Improve staffing by patient acuity Extremely Important	1. Improve staffing by patient acuity Very Important	1. Improve staffing by patient acuity Somewhat Important	1. Improve staffing by patient acuity Not Very Important
2. Enforce meal and rest breaks; provide relief	2. Enforce meal and rest breaks; provide relief Extremely Important	2. Enforce meal and rest breaks; provide relief Very Important	2. Enforce meal and rest breaks; provide relief Somewhat Important	2. Enforce meal and rest breaks; provide relief Not Very Important
3 (a). Increase my base hourly pay	3 (a). Increase my base hourly pay Extremely Important	3 (a). Increase my base hourly pay Very Important	3 (a). Increase my base hourly pay Somewhat Important	3 (a). Increase my base hourly pay Not Very Important
3 (b). Increase my shift differential	3 (b). Increase my shift differential Extremely Important	3 (b). Increase my shift differential Very Important	3 (b). Increase my shift differential Somewhat Important	3 (b). Increase my shift differential Not Very Important
3 (c). Increase my on-call pay	3 (c). Increase my on-call pay Extremely Important	3 (c). Increase my on-call pay Very Important	3 (c). Increase my on-call pay Somewhat Important	3 (c). Increase my on-call pay Not Very Important
3 (d). Increase my preceptor differential	3 (d). Increase my preceptor differential Extremely Important	3 (d). Increase my preceptor differential Very Important	3 (d). Increase my preceptor differential Somewhat Important	3 (d). Increase my preceptor differential Not Very Important
3 (e). Increase my BSN/Masters differential	3 (e). Increase my BSN/Masters differential Extremely Important	3 (e). Increase my BSN/Masters differential Very Important	3 (e). Increase my BSN/Masters differential Somewhat Important	3 (e). Increase my BSN/Masters differential Not Very Important
3 (f). Increase my longevity incentives	3 (f). Increase my longevity incentives Extremely Important	3 (f). Increase my longevity incentives Very Important	3 (f). Increase my longevity incentives Somewhat Important	3 (f). Increase my longevity incentives Not Very Important
4. Improve/protect health insurance benefits	4. Improve/protect health insurance benefits Extremely Important	4. Improve/protect health insurance benefits Very Important	4. Improve/protect health insurance benefits Somewhat Important	4. Improve/protect health insurance benefits Not Very Important
5. Protect PTO accrual	5. Protect PTO accrual Extremely Important	5. Protect PTO accrual Very Important	5. Protect PTO accrual Somewhat Important	5. Protect PTO accrual Not Very Important
6. Improve education/tuition reimbursement	6. Improve education/tuition reimbursement Extremely Important	6. Improve education/tuition reimbursement Very Important	6. Improve education/tuition reimbursement Somewhat Important	6. Improve education/tuition reimbursement Not Very Important
7. Protect 401(k) company match	7. Protect 401(k) company match Extremely Important	7. Protect 401(k) company match Very Important	7. Protect 401(k) company match Somewhat Important	7. Protect 401(k) company match Not Very Important

8. What percentage wage increase do you expect?

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* 6. UNIT/DEPARTMENT ASSIGNMENT
Please check the box next to the answer that pertains to you (check all that apply)

2 East - Telemetry

2 West - Telemetry

2 North

GI Lab

Same Day Surgery

3 East - Med/Surg

3 West - Med/Surg

Case Management

2 South - Med/Surg

2 South - PCI

Cath Lab

PACU

Radiology

Pre-Admitting

ICU

CCU

Other (please indicate)

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* 7. SHIFT
Please select the response that pertains to you

Day

Night

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* 8. HOURS IN A SHIFT
Please select the response that pertains to you

12 Hours

10 Hours

8 Hours

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* 9. STATUS
Please select the response that pertains to you

Full-Time

Part-Time

Per Diem

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* 10. SERVICE
Please select the response that pertains to you

Less than 5 years

5 to 10 years

11 to 15 years

More than 15 years

Lakewood 2019 Bargaining Survey

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* 1. NAME

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* 2. HOME PHONE #

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* 3. CELL PHONE #

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* 4. HOME EMAIL

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* 5. BARGAINING ISSUES
For each issue please select the response that represents your answer

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* 6. UNIT/DEPARTMENT ASSIGNMENT
Please check the box next to the answer that pertains to you (check all that apply)

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* 7. SHIFT
Please select the response that pertains to you

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* 8. HOURS IN A SHIFT
Please select the response that pertains to you

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* 9. STATUS
Please select the response that pertains to you

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* 10. SERVICE
Please select the response that pertains to you

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* 11. What is your date of hire?

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* 12. What is your RN license date? (the date you were first licensed in California)

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* 13. What is your RN license number?

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* 14. ISSUES THAT MATTER TO YOU
Please describe your most important concern you would like addressed in bargaining

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* 15. ISSUES THAT MATTER TO YOU
Please describe your second most important concern you would like addressed in bargaining

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* 16. ISSUES THAT MATTER TO YOU
Please describe your third most important concern you would like addressed in bargaining

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* 1. NAME

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* 2. HOME PHONE #

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* 3. CELL PHONE #

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* 4. HOME EMAIL

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* 5. BARGAINING ISSUESFor each issue please select the response that represents your answer

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* 6. UNIT/DEPARTMENT ASSIGNMENTPlease check the box next to the answer that pertains to you (check all that apply)

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* 7. SHIFTPlease select the response that pertains to you

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* 8. HOURS IN A SHIFTPlease select the response that pertains to you

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* 9. STATUSPlease select the response that pertains to you

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* 10. SERVICEPlease select the response that pertains to you

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* 11. What is your date of hire?

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* 12. What is your RN license date? (the date you were first licensed in California)

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* 13. What is your RN license number?

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* 14. ISSUES THAT MATTER TO YOUPlease describe your most important concern you would like addressed in bargaining

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* 15. ISSUES THAT MATTER TO YOUPlease describe your second most important concern you would like addressed in bargaining

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* 16. ISSUES THAT MATTER TO YOUPlease describe your third most important concern you would like addressed in bargaining

* 5. BARGAINING ISSUES
For each issue please select the response that represents your answer

* 6. UNIT/DEPARTMENT ASSIGNMENT
Please check the box next to the answer that pertains to you (check all that apply)

* 7. SHIFT
Please select the response that pertains to you

* 8. HOURS IN A SHIFT
Please select the response that pertains to you

* 9. STATUS
Please select the response that pertains to you

* 10. SERVICE
Please select the response that pertains to you

* 14. ISSUES THAT MATTER TO YOU
Please describe your most important concern you would like addressed in bargaining

* 15. ISSUES THAT MATTER TO YOU
Please describe your second most important concern you would like addressed in bargaining

* 16. ISSUES THAT MATTER TO YOU
Please describe your third most important concern you would like addressed in bargaining