Worker Health and Safety Survey
This survey is being circulated by United Faculty and Academic Staff (AFT local 223) and the Teaching Assistants' Association (AFT local 3220) to better understand the health and safety concerns of workers across the UW-Madison campus during the COVID-19 pandemic. Please respond by July 14.
* Required
What is your comfort level about bringing students back to campus this fall, restarting research, and other in-person activities?
*
Very comfortable
Comfortable
Unsure or neutral
Uncomfortable
Extremely uncomfortable
What are your top safety and health concerns about working on campus?
*
Your answer
What (if anything) would make you feel like it's safe to work on campus?
*
Your answer
Is protective equipment (PPE) being provided for your campus work?
Yes
Yes but not enough
No
Not applicable to me (yet)
Don't know
Other:
Clear selection
When do you anticipate working on campus?
I work on campus now
This summer
Fall semester
I don't know
Other:
Clear selection
If you are not currently working on campus, are you facing pressure to return by a certain date? If so, please describe to the extent you're comfortable.
Your answer
Do you need to provide documentation of health risk (if any), to be exempted from in-person campus work? If so, please describe to the extent you're comfortable.
Your answer
On a regular workday, how many people do you typically come into contact with on campus?
Your answer
On a regular workday, how many campus buildings are you typically in?
Your answer
How do you typically get to campus?
Bus
Car (alone)
Car (carpool)
Bike
Walk
Other:
Clear selection
Would you like a union member to contact you to talk about your concerns?
Yes
No
Clear selection
If yes, please share your name and contact info.
Your answer
In which department/ school/ division do you work?
Your answer
Which type of position do you hold?
University staff
Academic staff
Faculty
Graduate student worker
Other:
Clear selection
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