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Last day worked (approx)
Company assigned to
Why did the assignment end?
Quit
Terminated
Reason
Do you feel that you were qualified for the position?
Yes
No
How would you rate the training you received?
Excellent
Good
Fair
Poor
How would you rate your supervisor?
Excellent
Good
Fair
Poor
Were your co-workers cooperative and friendly?
Yes
No
Would you recommend this company to others?
Yes
No
Comments/Grievances
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