Name:
Company:
Phone:
Email:

Name of Temporary:

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.	Knowledge and skills possessed by the staff supplied.

	Additional comments:


2.	Professionalism in dress and conduct.

	Additional comments:


3.	Performance of assigned duties.

	Additional comments:


4.	Employee punctuality.

	Additional comments:


5.	Personnel's adherence to the standards, practices and policies of your company.

	Additional comments:

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