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* 1. What Hospital do you work at?

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* 2. What ward are you on?

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* 3. Have you discussed taking Industrial Action on your ward?

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* 4. If yes, tick the following actions you/your colleagues will take part in:

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* 5. Phase 2 Actions (If no resolution after 2 weeks from phase 1):

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* 6. If no, will you pledge to discuss this with your colleagues and complete the following to inform ANMF of your agreed actions

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* 7. Phase 2 Actions (If no resolution after 2 weeks from phase 1):

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* 8. Do you require an ANMF meeting on your ward to assist with the rolling out of industrial action?

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* 9. If yes, please provide: name of your ward, best time for a meeting and your contact details

Thank you for taking the time to complete this survey.

Emily Shepherd
Branch Secretary
ANMF (Tasmanian Branch)
25 July 2024

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