FirstStaff Exit Interview
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1. FirstStaff Exit Interview (d250.r13)

 

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1. What is your name?

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2. How long have you been on assignment?

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3. Assignment location:

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4. To which shift were you assigned?

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5. Are you quitting your assignment?

6. Please indicated your primary reason for separation:

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7. Discharged?

8. Reason for Discharge:

9. Please rate the following statements about your assignment:

 Strongly DisagreeSomewhat DisagreeNeutralSomewhat AgreeStrongly Agree
My immediate supervisor let me know when I was doing a good job.
In regard to my supervisor, I felt free to suggest changes that would improve my department.
I received the proper training in order to perform my job effectively.
In my department, employee problems and complaints were resolved fairly and promptly in.

10. Please indicate your satisfaction with FirstStaff:

 Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
FirstStaff clearly defined my job duties and responsibilities.
The FirstStaff staff is available to me.
My paycheck is accurate each week.
The FirstStaff staff is respectful to me.
I would recommend FirstStaff to a friend.

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11. Staffing Specialist entering information: