Do you use Feeney Brothers health insurance? * Yes No Do you use Feeney Brothers health insurance for your children? * Yes No How are your children covered? N/A CHIP Medicaid spouse What is your monthly copay? How much do you make an hour? Less than $25/hr About $25/hr More than $25/hr Do you feel like you have enough money for retirement? * Yes No How would you classify your overall financial situation? * Pay and Benefits Are Sufficient to Pay all my Bills and Save for Retirement. Pay and Benefits Are Enough to Survive Pay Check to PayCheck. Pay and Benefits Leave me Struggling to Make Ends Meet. Have you witnessed high turnover and your coworkers leaving for other jobs? Yes No If you would like to be contacted by a Union Representative, please leave your contact information. Name * First Name Last Name Phone * (###) ### #### Email Thank you!
