Employee Name *

First Name

Last Name

Date *

MM

DD

YYYY

Attitude *

1

2

3

4

5

Attendance/Prompt *

1

2

3

4

5

Communication *

1

2

3

4

5

Attention to Detail *

1

2

3

4

5

Team Player *

1

2

3

4

5

Empowering your team *

1

2

3

4

5

Communication *

1

2

3

4

5

Scheduling *

1

2

3

4

5

Provides Neccesary Training *

1

2

3

4

5

Available/Approachable *

1

2

3

4

5

How satisfied are you with your current position? *

Very Satisfied

Somewhat Satisfied

Not Satisfied

Are you Interested in learning about additional opportunities within LFS? *

Yes

No