What are your dates of employment?
How many employees does your store and/or company have?
What is the nature of the perceived violation? (i.e. minimum wage violation, overtime violation, paid inaccurately, not paid, portion of wage/tips withheld, contract violation, retaliation, etc)
What is your hourly wage?
How many hours do you work a week on average?
Do you receive tips? (Y/N)
Are you required to pool tips? (Optional)
Who is included in the tip pool? (Optional)
Approximately what percentage of your tips do you tip out? (Optional)
After tips, do you make at least the minimum wage in an average week? (Optional)
Do you work over 40 hours a week? If so, how many hours over 40 do you work?
Do you receive overtime (1.5X regular hourly rate for every hour over 40 a week)?
If you are a tipped worker, what is your hourly rate for overtime? (Optional)
Do you get breaks? If so, how frequently and how long are they?
What percentage of your time do you spend doing work that isn't providing direct service to customers (a.k.a. "side work")?
What does your "side work" entail?
What wage are you being paid while doing "side work"?
Does everyone do an equal amount of side work?
Do you have to work off the clock? If so, how much per week?
Do you ever have to do work outside the scope of your position (i.e. servers doing kitchen prep, bartenders cleaning restaurant, etc.)? If so, what hourly rate are you paid for that time?
Has there ever been a mistake on the amount of tips you were paid? (Optional)
If so, how frequently does this happen? Does this happen to others? Was it resolved? (Optional)
Has your employer ever failed to pay you on time or paid you the incorrect amount?
If so, what happened and was it resolved? (Optional)
Has your employer ever forced you to pay for customer walk-outs or taken deductions for other reasons? (Y/N)
If so, what happened and how much was deducted? (Optional)
How frequently does this happen? (Optional)
Have you ever heard or personally experienced verbal abuse, physical abuse, sexual harassment, or been treated differently and/or less favorably than coworkers? (Y/N)
If so, to what do you attribute the discrimination? (i.e. race, religion, gender, sexual orientation, age, national origin, political beliefs, immigration status, language or accent, disability, etc.) (Optional)
Have you ever experienced unwanted sexual advances, touching, or comments from customers, co-workers, or management? (Y/N)
If you feel you have been discriminated, how were similarly situated employees treated? (Optional)
Who performed the discriminatory acts? (name and position) (Optional)
When did incident(s) occur? (Optional)
If ongoing, how frequent and when was the last incident? (Optional)
What reasons, if any, were given for discriminatory act(s)? (Optional)
Was management or company notified of incident(s)? If so, who was it and what was the result? (Optional)
Was a complaint filed internally or with any agency? If so, with whom, when, and what was the result? (Optional)
Does the company have an anti-discriminatory or anti-harassment policy? (Optional)
Does the employer have a procedure for dealing with discrimination or harassment? If so, what is it and did you utilize it?
Did you have any work performance/disciplinary issues during the course of employment? If so, please describe.
If your issue relates to pregnancy, disability, or serious health issue for you or a family member was leave or accommodation requested? If so, what was requested? (Optional)
What was the result? (granted, terms, length, etc.) (Optional)
If leave was requested, on what basis? (medical condition, family care, etc.) (Optional)
If leave or accommodation was granted, were you treated differently afterwards? (Optional)
Does your employer provide sick days? If so, are you able to take them without retaliation?
Did you receive instructions or training about workplace safety?
Have you had any health/safety problems at work? (i.e. cuts, burns, heat exhaustion, falls, etc.)
Are there are fire hazards in your restaurant?
Do you have chronic pain caused or worsened by the job? (Y/N)
If so, how has the company responded? (i.e. coverage of medical expenses, time off, etc.) (Optional)
What is your desired outcome for coming to ROC United? (Optional)