Your First Name: 

Email: 

Travel Company Name: 

1. My recruiter made every attempt to provide the travel assignment that I wanted? Yes No N/A

2. I was offered positions at my preferred hospital size or trauma level? Yes No N/A

3. The company provided adequate health insurance? Yes No N/A

4. The company provided health insurance within the first 30 days of employment? Yes No N/A

5. I received adequate housing with utilities or a generous housing stipend? Yes No N/A

6. The company reimbursed or paid for all pre-employment screening? Yes No N/A

7. The company provided 401K with some company match? Yes No N/A

8. The company offered pay rates over $30? Yes No N/A

9. The company offers weekly pay checks that can be directly deposited? Yes No N/A

10. The company offers the choice to participate in a travelers advantage program? Yes No N/A

11. The company paid on time and correctly...  if there was a mistake, it was quickly corrected? Yes No N/A

12. Missed days were either made up or up to three days were excused.  The company did NOT charge me for "assignment expenses" for days missed? Yes No N/A

13. My continuing education, ACLS, PALS, CPR etc...  were covered as needed? Yes No N/A

14. My recruiter was knowledgeable about travel nursing and did not have a "used-car salesman" attitude? Yes No N/A

15. I felt like my recruiter was honest? Yes No N/A

16. I felt like my recruiter and the company stood behind me in a tough situation? Yes No N/A

17. I felt like a valued nurse with a name instead of just a number on the payroll? Yes No N/A

18. I felt like my recruiter knew my personality and my preferences for contact and took those things into consideration... (didn't call at noon since I work nights, knows that I'm a talker, knows that I just want to take care of business and hang up, knows my preference is just to email)? Yes No N/A

19. The company offered full pay for orientation, and I was fully prepared for orientation? Yes No N/A

20. I would recommend the company to other travelers? Yes No N/A

To prove that you are human...  what do we commonly know DeoxyriboNucleic Acid as ?