SEIU 721 Environmental Justice Questionnaire
SEIU 721 EJ Caucus Questionnaire
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Email *
First Name *
Last Name *
Cell Phone Number *
Employee ID# or 'Retiree' *
Job Title
Please select your level of concern for the following issues  *
1 (Not Concerned)
2
3
4
5 (Very Concerned)
Fire
Flood
Heat
Hurricane/Tropical Storm
Drought
Air Pollution
Water Pollution
Decreased Animal Habitat
Asthma
Plastic Waste
Climate Change
Row 12
Which of the issues listed above have you faced in the course of your work if any?
Please rank your support for the following programs *
1 (Not Supportive)
2
3
4
5 (Very Supportive)
Remote Work When Applicable
4/40 or 9/80 Work Schedule
Employer Provided Electric Car Charging
Mass Transit Subsidy
Carpooling
'Green At Work' Initiatives
Electric Vehicles
Affordable Housing (to reduce commute distances)
Insourcing of Climate Jobs
Community Outreach for Public Health
Which of the programs listed above do you have access to at work if any?
Which services provided by 721 members should be expanded given the recent extreme weather events?
What other issues regarding civil service and the environment would you like the panelists to address?
A copy of your responses will be emailed to the address you provided.
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