top of page

Part 1: Mandatory Legal Disclaimer / 强制性法律声明

I acknowledge the following / 我确认以下声明:

Part 2: Basic Profile / 基础画像

Current Status / 当前状态:
Currently Employed / 在职
Formerly Employed / 已离职
Industry / 所属行业:

Part 3: Pay Structure / 薪酬结构还原

Payment Method / 计薪方式:
Hourly / 时薪制
Salary or Flat Rate / 包薪制(固定薪水)
Base + Commission/Tips / 底薪+提成/小费
Payment Mode / 发薪形式:
Check / 支票
Cash / 现金
Mixed (Check + Cash) / 混合形式
Do you receive a formal Paystub? / 是否有正式工资单?:
Yes / 是(包含总工时、抵扣项明细)
No / 否(仅收到支票或现金,无明细)

Part 4: Work Hours Audit / 工时逻辑审计

Have you ever worked 7 consecutive days in a single workweek? / 是否曾在一个工作周内连续工作 7 天?
Yes / 是
No / 否
Do you work two shifts in one day with a gap of 1+ hour (e.g., Lunch then Dinner)? / 同一天是否分两次上班且中间空档超过 1 小时?
Yes / 是
No / 否

Part 5: Meal & Rest Breaks / 餐休权益审计

If working >5 hours, were you provided a 30-min uninterrupted & unpaid break? / 工作超 5 小时,老板是否提供了 30 分钟不计薪且不被打扰的吃饭时间?
Yes, always / 是,一直都有
No / 否(经常边干活边吃或不足 30 分钟)
If working >10 hours, were you provided a second 30-min break? / 工作超 10 小时,是否有第二次 30 分钟吃饭时间?
Yes / 有
No / 没有
Were you allowed a 10-minute paid rest break for every 4 hours worked? / 每工作 4 小时,是否被允许有 10 分钟的带薪休息时间?
Yes / 是
No / 否

Part 6: Final Submission / 提交与确认

bottom of page