General Union - GABA branch members' survey

1.  Name:     2. Main GABA branch:

3.  Date you started working at GABA (YY/MM/DD):

4. Number of working days:  Your first six months (Rough estimates are fine)

Each subsequent one year period
(Rough estimates are fine)

5.  In the last two years as of this date, how many minutes have you worked past 10PM?: (Rough estimates are fine)

6. In the last two years as of this date, how many minutes have you worked over eight hours per day: (Rough estimates are fine)

7.  Are you enrolled in any of the following (please check all applicable boxes):
Shakai Hoken  Kokumin Kenko Hoken  Kokumin Nenkin  No insurance

8. Starting with your most current pay period, please indicate your salary over the past twenty four months (going from left to right)
Apr 08 Mar 08 Feb 08 Jan 08 Dec 07
Nov 07 Oct 07 Sept 07 Aug 07 Jul 07
Jun 07 May 07 Apr 07 Mar 07 Feb 07
Jan 07 Dec 06 Nov 06 Oct 06 Sept 06
Aug 06 Jul 06 Jun 06 May 06

9. Your current per lesson rate of pay: