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Pay Analysis Questionnaire

Pay Analysis Questionnaire

Step 1 of 2

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First Name*
Last Name
Phone
Email*
Position
Employer
Start Date
End Date
Still Employed
- Yes
- No
Work 40 or more hours in a week?
- Yes
- No
Are you paid overtime (1.5 Times Regular Pay) for all hours worked over 40 in a work week?
- Yes
- No
- N/A
Is your overtime pay based on a single work week?
- Yes
- No
- I don’t know
- N/A
Payment*
- Hourly
- Salary
- Other
Hourly Employees Should Answer the Following Questions:
For the questions below, you only need to answer those that apply to your job! Otherwise, you can just leave the answer blank. We will review your submission and follow-up with you soon.
Meal Breaks:
Were you required to take Meal Breaks?
- Yes
- No
- I don’t know
Were your meal breaks unpaid?
- Yes
- No
- I don’t know
Were your meal breaks 30 minutes or longer?
- Yes
- No
- I don’t know
Were you required to perform work during your meal break or was your meal break interrupted?
- Yes
- No
- I don’t know
Were your meal breaks automatically deducted from your pay regardless of whether you actually took a full break?
- Yes
- No
- I don’t know
Travel Time, On-Call Time, Training, Meetings, Waiting Time:
Are you paid for travel time other than travel between your house and work?
- Yes
- No
- I don’t know
Are you paid for training sessions?
- Yes
- No
- I don’t know
Are you allowed to leave your place of employment while on-call?
- Yes
- No
- I don’t know
Are you paid for work actually performed while on-call?
- Yes
- No
- I don’t know
Are you paid for time spent waiting on the job?
- Yes
- No
- I don’t know
Before and After your Scheduled Shift:
Are you paid for pre-shift or post-shift meetings?
- Yes
- No
- I don’t know
Are you paid for pre-shift or post-shift activities that are for the benefit of your employer?
- Yes
- No
- I don’t know
Do you ever work off the clock at any time?
- Yes
- No
- I don’t know
Deductions:
Do deductions from your pay ever result in you making less than minimum wage for all hours worked?
- Yes
- No
- I don’t know
Tipped Employees:
Are you paid a “cash” wage (not including tips) of less than $7.25?
- Yes
- No
- I don’t know
Did your employer inform you of the amount of the cash wage you were paid?
- Yes
- No
- I don’t know
Did your employer inform you of the additional amount claimed by the employer as a “tip credit”?
- Yes
- No
- I don’t know
Did your employer inform you that all tips received by you are yours to keep unless you are part of a Tip Pooling arrangement?
- Yes
- No
- I don’t know
If you are part of a Tip Pooling arrangement, do managers receive any part of the tip pool?
- Yes
- No
- I don’t know
Are you an:*
- Employee
- Indepedendent Contractor
Independent Contractors Should Answer the Following Questions:
Do you have set hours or set schedule?
- Yes
- No
- I don’t know
Are you paid by the hour, week, or month?
- Yes
- No
- I don’t know
Does the company provide tools, materials, or other equipment?
- Yes
- No
- I don’t know
Does the company provide you training?
- Yes
- No
- I don’t know
Are you allowed to perform work for other companies?
- Yes
- No
- I don’t know
Does your contract end after one job or project?
- Yes
- No
- I don’t know
Salary Employees Should Answer the Following Questions:
Are you paid at least $455.00 per week?
- Yes
- No
If you miss less than a half day of work for any reason is your pay reduced by the amount of time you missed work?
- Yes
- No
- I don’t know
Do you perform office work or non-manual work?
- Yes
- No
- I don’t know
Do your primary job duties involve using discretion and independent judgment on significant matters?
- Yes
- No
- I don’t know
Do you supervise 2 or more full time employees or the equivalent (1 full time, 2 part time)?
- Yes
- No
- I don’t know
Do you have an advanced degree (masters, Ph.D., law, RN, doctor)?
- Yes
- No
- I don’t know
Does your job use your advanced knowledge?
- Yes
- No
- I don’t know

Thank you for taking the time to answer those questions that apply to your job! You can click the previous button to go back, or you can click the submit button below to complete the form submission process.

Best Employment lawyers in Columbus

Best Employment Lawyers in Columbus

COLUMBUS Office

The Friedmann Firm. LLC

1457 South High Street
Columbus, OH 43207

Cleveland Office

The Friedmann Firm. LLC

9664 Akins Road,
Building 2, Unit 1
North Royalton, OH 44133

Cincinnati Office

The Friedmann Firm. LLC

201 E 5th St,
Suite 1900-1188
Cincinnati, OH 45202

Contact Us

Columbus : 614.610.9755

Cleveland : 440.703.8550

Cincinnati : (513) 845-7330

Fax : 614.737.9812

Email : [email protected]

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