Care and support questionnaire

Name:

Employer and facility (including area)

Years of continuous service:

Payrate (per hour):

Current Qualification(s):

The current relevant qualifications are Health & Wellbeing Level 2, 3, and 4. See https://www.careerforce.org.nz/pay-equity-and-qualification-equivalencies/qualifications-assessed-for-equivalence for a list of equivalent qualifications.

How long did it take you to attain a Level 2 qualification?

How long did it take you to attain a Level 3 qualification?

How long did it take you to attain a Level 4 qualification?

If you do not yet have all of these qualifications, what have been the main barriers for you?

Has your employer ever offered you an opportunity to do the training and get your qualifications?

Yes
No
Other

If 'other', please explain.

If you turned down the chance to get your qualifications, please explain why?

Does your employer pay for course registrations?

Yes
No

Does your employer apply for and pay for your workbooks?

Yes
No

What support do you get from your employer to attain the relevant qualifications?

Check all that apply to you.

If other, please give details.

What other forms of support would you like your employer to provide?

Do you commit to organising your workmates to fight for your rights and the support for training and pay you deserve?

Yes
No
Other

If 'other', please explain further.

Care and support questionnaire

Please fill out the following to inform our next steps. Your personal information will be kept private, unless agreed otherwise with you.

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