Employee Assignment Survey Assignment Survey Where were you on assignment? * Shift * Please Select1st2nd3rdOther Shift Assignment End Date * Full Name * Full Name First First Last Last Last 4 of Social Security Number * Select your 1st Employment Office * 1st Employment - Benton1st Employment - Conway1st Employment Fayetteville1st Employment - Fort Smith1st Employment - Hot Springs1st Employment - Little Rock1st Employment Professional Placement Division1st Employment Rogers1st Employment Siloam Springs1st Employment Springdale 1. How long have you been on assignment? * Less than 1 week 1-2 weels 2-4 weeks 4-8 weeks 8-12 weeks More than 12 weeks 2. Are you quitting the assignment? * Yes No 3. Are you voluntarily quitting the assignment or have you been terminated? * Voluntarily Quitting Terminated 4. 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 Did not 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 indicate your level of agreement with each statement using the sliders below. 5 being strongly agree and 1 being strongly disagree. The 1st Employment Staffing orientation prepared me for my assignment. * 1 2 3 4 5 The 1st Employment Staffing staff is available to me. * 1 2 3 4 5 The 1st Employment Staffing staff responds to my questions/concerns quickly. * 1 2 3 4 5 My paycheck is accurate each week. * 1 2 3 4 5 The 1st Employment Staffing staff treats me in a respectful manner. * 1 2 3 4 5 Based on this assignment, indicate how satisfied you were with each of the following. 5 being strongly satisfied and 1 being strongly dissatisfied. Pay for assignment * 1 2 3 4 5 Working condition * 1 2 3 4 5 Work schedule * 1 2 3 4 5 Please provide any additional feedback or information regarding this assignment. Signature * signature keyboard Clear Date Signed * If you are human, leave this field blank. Submit Start Over Δ
