Assignment Survey Exit Interview Name * Name First First Last Last Last 4 of SSN * Where were you on assignment? * Which 1st Employment location was your assignment out of? * Select a 1st Employment location1st Employment - Benton1st Employment - Conway1st Employment - Fayetteville1st Employment - Fort Smith1st Employment - Hot Springs1st Employment - Little Rock1st Employment - Professional Division1st Employment - Rogers1st Employment - Siloam Springs1st Employment - Sprindale Shift(s) Worked * 1st Shift 2nd Shift 3rd Shift How long have you been on this assignment? * Lass than 1 week 1-2 Weeks 2-4 Weeks 4-8 Weeks 8-12 Weeks More than 12 Weeks Are you voluntarily quitting your assignment? * Yes No Have you taken another job? * Yes No If you voluntarily quit, please check the primary reason. * Enrolled in school/training Pay rate Work environment Childcare Converted to permanent status with customer Location Didn't like assignment Conflict with supervisor Benefits Transportation Work schedule Not enough hours Offered another job OtherOther If your assignment was terminated, please check the primary reason. * Attendance Policy violation Attitude Performance Abandoned job Performance - Quality Performance - Quantity Please use the sliders to indicate your level of agreement to the questions below. 1 being strongly disagree and 5 being strongly agree. The 1st Employment Staffing orientation prepared me for my assignment. * 3 The 1st Employment Staffing staff is available to me. * 3 The 1st Employment Staffing staff responds to my questions/concerns quickly. * 3 My paycheck is accurate each week. 3 The 1st Employment Staffing staff treats me in a respectful manner. * 3 Based on this assignment, indicate how satisfied you were with each of the following using the sliders below. Pay for the assignment * 3 Working conditions * 3 Work schedule * 3 You are encouraged to provide additional feedback or information regarding this assignment. Signature signature keyboard Clear If you are human, leave this field blank. Submit Start Over Δ
