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Why Partner with Coastal Care Staffing?
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Facility Feedback
Staffing Service Experience:
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Excellent
Good
Marginal
Unacceptable
Service Comments:
Nurse Name:
*
How would you rate your overall experience with this nurse?
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Excellent
Good
Marginal
Unacceptable
Nurse Comments:
Scheduling Experience:
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Excellent
Good
Marginal
Unacceptable
Scheduling Comments:
Would you recommend Coastal Care Staffing to Someone Else?
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Yes
No
May we use you for a testimonial and/or reference?
*
Yes
No
Your Name:
*
Facility Name:
*
Email:
*
Phone #:
*
Date of Staffing Service:
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