OCCUPY YOUR WORKPLACE SURVEY
Answers marked with a * are required.
ALL RESPONSES ARE STRICTLY CONFIDENTIAL
The Occupy Your Workplace Group is conducting a survey to learn more about people’s jobs. We also want to work in solidarity with workers who are interested in organizing on the job to have more power and democracy at work and to improve their wages, benefits, and working conditions. Our group meets every Sunday from 5-7pm at 60 Wall St, and we can be reached at firstname.lastname@example.org.
Please provide your contact information:
Can we contact you about our group's ongoing work?
What is your employment status?
Working for a wage or salary
Unpaid trainee or Intern
Full Time Student
Other (Please Specify)
If you are employed, what is your job title or job description?
Do you feel that you are treated fairly at your job?
Are you interested in organizing in your workplace to improve your wages, benefits, working conditions, or treatment on the job?
Do you have any other comments?
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