SEIU Local 105 KP Discrimination Survey
Your response to this survey will be sent directly and only to SEIU Local 105 Internal Healthcare Director Alejandro Guzman. Your identity will not be shared with anyone unless you request to be contacted by a Local 105 representative.

Definition of Discrimination:

treatment or consideration of, or making a distinction in favor of or against, a person or thing based on the group, class, or category to which that person or thing belongs rather than on individual merit
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Have you experienced and/or witnessed discrimination at Kaiser Permanente in the past five years? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy