Name:
Company:
Phone:
Email:

Please rate the following items on a scale of one through ten (1 being the least satisfactory, 10 being the most satisfactory). Feel free to add any additional comments where necessary.

1.	Act Personnel's timeliness and speed in filling job orders.

	Additional Comments:


2.	Act Personnel's ability to keep you informed as to the status of pending job orders.

	Additional Comments:


3.	Delivery of personnel that meet your company's needs.

	Additional Comments:


4.	Act Personnel's response to complaints and helpfulness in solving problems.

	Additional Comments:


5.	Do you anticipate seasonal/peak personnel needs in the year 200_?


6.	Do you use other temporary placement services?
	No
	Yes

7.	Is there someone other than yourself you would like us to contact to discuss your staffing needs?
	No
	Yes
	If yes, please give name:

ACT Personnel Service, Inc. "The Best Companies Look To Us For The Best People"

MARYLAND Allegany County 505 National Highway P.O. Box 3326, LaVale, MD 21504 301-724-1025 fax: 301-724-4550 staffing@actpersonnel.com GARRETT COUNTY 1-866-658-1854 staffing@actpersonnel.com	WEST VIRGINIA Mineral County 1-866-658-1854 staffing@actpersonnel.com