Information obtained by this questionnaire will be used by the bargaining committee as a guide for recommended changes in the contract.
	 
	
    
	
		
Personal Data
	
	
	
    
	
	
    
	
	
    
	
	
    
	
	
    
	
	
	
		
		
		
		
		Do you have kids that attend school in the District? 
		
		
 
	
 
    
	
	
    
	
	
	
		
		
		
		
		Is that more, less or the same as you were hired to work? 
		
		
 
	
 
    
	
    
	
		
Employment Status
	
	
	
	
		
		
		
		
		Please select your employment status 
		
		
 
	
 
    
	
	
	
		
		
		
		
		Please describe the most important issue facing you in respect to your above employment status 
		
		
 
	
	
	
		
        
	
	
		
	
 
    
	
    
	
		
Bargaining Priorities
	
	
	
	
		
		
		
		
		On a scale from 1 to 6, according to your preference, please list the importance of the following items (1 being the most important, 6 being the least) 
		
		
 
	
 
    
	
	
    
	
	
	
		
		
		
		
		If you do not get your health care benefits through WCCUSD, why not? 
		
		
 
	
 
    
	
	
	
		
		
		
		
		If you do get your health care benefits through WCCUSD, tell us the primary reason you chose your health plan 
		
		
 
	
 
    
	
	
	
		
		
		
		
		Please indicate a proposed improvement to health care. (Be specific.) 
		
		
 
	
	
	
		
        
	
	
		
	
 
    
	
	
	
		
		
		
		
		Please propose the term of duration of the next contract 
		
		
 
	
 
    
	
    
	
		
General Comments
	
	
	
	
		
		
		
		
		Please identify any other areas of concern or improvements that you may suggest to assist your bargaining committee