Request edit access
MCNA April 2024 Staff Data Survey
Please take a moment when you are not at work to fill out the following survey to help us forcast and budget our contract demands and assess the interest of unionization within our workforce. This is completely voluntary. If you wish to keep certain information private, please write N/A or $0.99 in the question. Thank you for your participation. It is invaluable. *No information will be shared with other entities, nor used to forge union authorization cards.*
Sign in to Google to save your progress. Learn more
Are you salaried or hourly?
*
What is your current FTE? If you are below a 0.6 FTE, how many shifts per pay period do you pick up on average?  *
What is your current pay rate?
*
What was your wage percentage increase in 2024?
*
What year were you licensed as an LPN or RN?
*
MM
/
DD
/
YYYY
What year were you licensed as an LPN or RN? Please enter date if year is unavailable in above question.
*
Do you have additional professional certifications that are current? (ei: CCRN, IBCLC, CMSRN, CHEMO, PCCN)
*
Do you partake in these additional responsibilities or duties within your workplace?
*
Required
How would you rate your support of a Nursing Union representing Mayo Clinic RNs, LPNs, and CRNAs? *
No-Union
Union
Please nominate a leader from your unit that you feel would be a strong advocate for your work group.
*
Please rate the following issues according to their importance to you. 
Increased wages
*
Least important
Most important
Protected pension benefit
*
Least Important
Most Important
Lower health insurance expenses or bridge to retirement insurance coverage if retiring in 3-5 years. 
*
Least Important
Most Important
Preferential appointment scheduling
*
Least Important
Most Important
Quarterly bonuses
*
Least Important
Most Important
Enter your LAN ID and/or work unit and Supervisor’s name. This ensures the data is valid by making it accountable to you. This survey and its contents are kept confidential and are for data collection purposes only. 
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report