SHMC Survey for Childcare committee

This survey is to assess the needs of our nurses with kids to be able to support each other and our families during the strike/picket line shifts.
Families, including spouses/partners and kids of all ages are very much encouraged to stand together at the picket lines in solidarity and remind Providence that this affects more than just the nurses on the units during our working hours. Therefore, the Childcare committee is planning to have designated kid friendly break areas to give kids a break from the cold and a little something to do during picket line shifts. Please have this survey completed by (Date TBD) so we can organize our resources to meet the needs of all of us.

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* 1. Please provide us with your first and last name

First name

Last name

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* 2. What department are you from?

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* 3. What shift do you usually work?

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* 4. Would you be willing to be a “childcare champion” for your unit to help assess and/or coordinate childcare needs for the nurses on your particular unit?

Yes

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* 5. Do you have children?

Yes

If yes, how many?

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* 6. What ages are your children? (Select all that apply)

under 1 year

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

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* 7. Do you plan to bring your kids to your designated pickling shifts?

Yes

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* 8. Do you anticipate having a childcare need anytime during the strike for picket line shifts or other strike duties?

Yes

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* 9. What questions, suggestions or concerns and/or would you be interested in helping with the childcare committee? Please briefly use the free text space below:

Please note: Kid friendly break areas are designated areas that are a place for parents to take a break with their child(ren). It is not a supervised area to leave your child(ren) in while you stand at the picket line