Phoenix Fed Mandate Worker Survey
🚨VERY IMPORTANT! WE NEED EVERYONE TO COMPLETE THE MINIMUM REQUIRED QUESTIONS ON THIS FORM ASAP!🚨

👉Video Explaining why this survey is needed and Merissa Hamilton's background: https://youtu.be/rwgh_O5K-f8

👉Video of summary from the meeting with the City Manager's office: https://youtu.be/W0GmIjYyJXg

There are two sections to the survey: 1 - Contact Info (Optional), 1b - Employee Demographic Info, 2 - Action Opportunities.

Be assured that leaving your contact information is PRIVATE and OPTIONAL. All contact information will not be shared with ANYONE and only be used for reference to provide feedback if necessary or organize based on your selections below. Please make sure to submit only personal contact information so that any contact goes directly to you. DO NOT SUBMIT YOUR OFFICIAL CITY CONTACT INFO.

❌ DO NOT INCLUDE PERSONAL INFORMATION IN THE QUESTION/COMMENT AREA UNLESS YOU WOULD LIKE IT SHARED WITH THE CITY!❌ Please be aware that any information that gets submitted within the question/comments area can be public records requested.

Thank you so much for taking a stand and fighting for our city! You are our city's heroes and we will peacefully fight to save our City! From the bottom of our hearts, thank you for your service!

👉If you are not a City of Phoenix employee but are a worker in Arizona facing a mandate, please complete this survey: https://forms.gle/H9s3wBpAxZ64iD1c6
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First Name
Last Name
Email
Cell Phone Number
Telegram ID
City of Residence *
How long have you worked at the City of Phoenix? *
What department do you currently work in? *
If you are a member of a union or association, please list it below. *
How likely are you to submit an application for an accommodation to the vax mandate? *
Not Happenning
Highly Likely
If you submitted an application for accommodation, would it be religious or medical? *
If your application for accommodation is denied, how likely are you to comply with the Phoenix mandate? *
I will not comply
Compliance Highly Likely
How confident are you that your answer to the previous question will not change? *
Very Low Confidence
Highly Confident It Will Not Change
What support do you need to shore up your determination to stand your ground? You can also send a private Telegram message to Ms. Hamilton with additional concerns. @merissa_hamilton *
必填
Is there any other information or concerns you would like to share not listed above? Your questions or comments in this section will NOT BE SHARED WITH THE CITY. Ms. Hamilton will do her best to find answers from outside experts if needed.
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