WOMEN'S COMMITTEE SURVEY 

1. PICK THE ITEM MOST IMPORTANT TO YOU: Child Care Personal Health Issues Family Health Issues Job Opportunities Job Security Eliminating Discrimination Practices

2. DO YOU PARTICIPATE IN ANY COMMUNITY SERVICES?
IF YOU ANSWER YES, PLEASE LIST THEM.

3. DO YOU FEEL THAT THAT DISCRIMINATION PRACTICES HAVE EVER BEEN APPLIED TO YOU? IF SO, PLEASE EXPLAIN.

4. DO YOU EVER FEEL HARASSED AT WORK EITHER SEXUALLY OR OTHERWISE?
YES  NO

5. DO YOU FEEL HELPLESS IN YOUR HOME ENVIRONMENT? YES NO

6. WHAT ISSUES OF IMPORTANCE TO YOU WOULD YOU LIKE TO SEE THE WOMEN'S COMMITTEE ADDRESS?
IF YOU CAN OFFER A SUGGESTION, IT WOULD BE GREATLY APPRECIATED.

7. DO YOU HAVE ACCESS TO THE INTERNET AT HOME? YES NO

8. DO YOU ACCESS THE LOCAL CWA WEB SITES THAT ARE AVAILABLE? . YESNO

9. ARE YOU COPING WITH A SERIOUS HEALTH CONDITION? YES NO

WOULD SPEAKING WITH OTHERS WHO HAVE THE SAME CIRCUMSTANCES BE OF HELP TO YOU? YES  NO

THE FOLLOWING INFORMATION IS OPTIONAL.

NAME:

CONTACT NUMBER:

EMAIL ADDRESS:

ALL INFORMATION IS BEING RETURNED TO:
CAROL COULTAS
CWA LOCAL 13500
820 EVERGREEN AVENUE
PITTSBURGH, PA 15209