Workplace Organizing Survey Form
Help us understand your workplace organizing needs, challenges, and interests by completing this brief survey.
What is your current role in the workplace?
*
Please Select
Employee
Manager
Supervisor
Union Representative
Other
Which workplace organizing priorities are most important to you? (Select all that apply)
*
Fair wages
Job security
Health and safety
Workplace respect
Scheduling flexibility
Other
How satisfied are you with current workplace conditions?
*
1
2
3
4
5
What are your biggest workplace challenges right now?
*
Which of the following issues have you experienced in your workplace? (Select all that apply)
*
Lack of communication
Unsafe conditions
Unfair scheduling
Discrimination or harassment
Limited advancement opportunities
Other
How interested are you in participating in workplace organizing activities?
*
Very interested
Somewhat interested
Not sure
Not interested
What methods of communication do you prefer for organizing updates? (Select all that apply)
*
Email
Text message
Phone call
In-person
If you are open to follow-up, please provide your first and last name.
First Name
Last Name
If you are open to follow-up, please provide your email address.
example@example.com
Please share any additional comments or suggestions about workplace organizing.
Submit Survey
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