Marshalltown Assignment Survey Marshalltown Stay Interview Name * Name First First Last Last Last 4 of SSN * Start Date * On a scale from 1 to 10 (1 being the lowest and 10 being the highest) how would you rate? Your overall satisfaction with your assignment * 1 2 3 4 5 6 7 8 9 10 The orientation you received at 1st Employment * 1 2 3 4 5 6 7 8 9 10 The orientation you received at MARSHALLTOWN * 1 2 3 4 5 6 7 8 9 10 The training you received onsite at MARSHALLTOWN * 1 2 3 4 5 6 7 8 9 10 Responsibilities/Job Duties were clearly defined * 1 2 3 4 5 6 7 8 9 10 The relationship with your peers * 1 2 3 4 5 6 7 8 9 10 The relationship with your supervisors/leads * 1 2 3 4 5 6 7 8 9 10 Accessibility of Supervisor to answer questions * 1 2 3 4 5 6 7 8 9 10 The timeclock system * 1 2 3 4 5 6 7 8 9 10 Safe work environment * 1 2 3 4 5 6 7 8 9 10 Accessibility of required PPE (e.g. gloves, earplugs etc.) * 1 2 3 4 5 6 7 8 9 10 Pay for Assignment * 1 2 3 4 5 6 7 8 9 10 Shift * 1 2 3 4 5 6 7 8 9 10 Are there any current issues that we should be made aware of or can help with? Any other comments of feedback you would like us to know? Your feedback is appreciated. Employee Signature * signature keyboard Clear Date Signed * If you are human, leave this field blank. Submit Δ
