Bathroom Survey Bathroom Survey The Unifor Local 111 Pride Committee is conducting this survey in order to get a sense of the biggest issues employees face when trying to use the bathroom at work. These issues might include lack of access, exclusion of your gender identity, cleanliness, etc. The survey is open to all CMBC employees. Results from the anonymous portion of the survey will be shared with TransLink to assist in their current project of updating where and how bathrooms are built for employees. Thank you for taking a minute or two to complete this survey and contribute important data. If you have any questions about this survey, you can contact the Pride Committee by emailing info@pride111.ca. This survey is anonymous unless you choose to fill out the optional portion at the end. 1. You are a… Conventional driver Shuttle driver Transit supervisor Transit security officer OtherOther 2. Which bathroom are you in right now? 3. How would you rate this bathroom? 1 2 3 4 5 4. Have you ever felt uncomfortable using the bathroom at work? * Yes No If yes, which of the following has contributed to your discomfort? a. Lack of cleanliness b. Lack of privacy c. No option accurately reflecting my gender identity d. Unsafe location e. Inadequate facilities f. Otherf. Other 5. Do you prefer single stall or multi-stall bathrooms? Single stall Multi-stall 6. Do you have any of the following specific bathroom needs? a. Menstrual b. Medicalb. Medical c. Religiousc. Religious d. Genderd. Gender e. Othere. Other 7. Gender * Examples: Agender (none), Pangender (all), Transgender, Masc, Femme, Non-binary, Gender non-conforming, Genderfluid, Genderqueer, Androgyne/Gender neutral, Cisgender, Male/Man, Female/Woman 8. Bathroom Testimony: Please share a sentence or two that can be passed on to TransLink about why our bathrooms need to be improved. * The following fields are entirely optional. Please consider the level of anonymity you wish to maintain before completing this section. 9. Depot Select a depot from this list.BTCHTCPTCRTCSTCVTC 10. Age 19-35 36-50 51-70 11. Years of Service 1-5 6-10 11-15 16-20 21-25 26-30 31-40+ 12. Are you a member of the LGBTQ2IAS+ Community? Yes No 13. Do you wish to be included in the Unifor Pride Caucus? Yes No Because you selected “YES” to question 13 above, please provide your name: * 14. Do you wish to be contacted by the Unifor Local 111 Pride Committee? Yes No Because you selected “YES” to questions 13 or 15 above, please provide your email address: * Please Note: None of your personally identifiable information will ever be shared with TransLink, CMBC, or other subsidiaries. This information is only viewed by members of the Unifor Local 111 Pride Committee. Thank you for taking the time to complete this survey. If you wish to be more involved in or informed about Unifor Local 111’s Pride-related events and projects, you can join the Unifor Local 111 Pride Caucus Facebook Group. If you are human, leave this field blank. Submit Δ