UFCW Healthcare Workers Need Your Help!

Kaiser’s management decisions have left UFCW members understaffed and overwhelmed. These problems are reflected in the declining quality of patient care at Kaiser.

What else is wrong with Kaiser? Tell us about recent experience:

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I am a:

KP Patient KP Worker

Name

ZIP

Cell Phone

How would you rate your last visit?

Very Positive Positive Neutral Negative Very Negative

How easy was it to schedule your last appointment at Kaiser Permanente?

Very Easy Easy Neutral Difficult Very Difficult

How satisfied are you with the quality of medical treatment you received from Kaiser Permanente?

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

How would you rate your recent work experience?

Very Positive Positive Neutral Negative Very Negative

Do you feel adequately supported by KP in providing quality care to patients?

Very Supported Supported Neutral Unsupported Very Unsupported

How often do you have sufficient time to address patients' questions and concerns during their visits?

Always Usually Sometimes Rarely Almost Never

Do you feel that your contributions to patient care are recognized and valued by the organization?

Very Mostly Somewhat Very Little Not At All

How many years of experience do you have in your current role within the healthcare industry?

0-5 6-10 11-15 16-20 21+

On a scale of 1 to 5 (with 1 being the worst), how satisfied are you with the overall quality of care provided by Kaiser Permanente?

1 2 3 4 5

Tell us about your last visit

Tell us about your workplace

Information provided will be used exclusively for the purposes of this advocacy campaign. We will not sell or share your personal information. Please do not provide confidential medical information in this form.