Employment Engagement Survey

Employee Score Card
Elite Medical Staffing strives to deliver optimal staffing services to your facility. To ensure the best experience, we ask if you could help us by letting us know how we are doing. Please rate each Elite employee staffed in your facility this week based upon the categories listed below.
Your Name and Facility*

First NameLast NameFacility Name
Employee Name*

First NameLast Name

Employee exceeded/met expectations*

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Employee followed all policies and procedures of the facility (ie: PPE worn properly, items like walkie talkies/pagers turned back in, etc.)*

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Employee is punctual: This includes but not limited to late arrivals and early outs*

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Employee shows a high degree of professionalism (ie: uniform, fingernails, badge, cell phone usage, etc.)*

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Employee completed all charting required by facility *

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

It is recommended that employee does not return to facility*

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Employee Score Card