Leave Feedback Leave Feedback "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.What would you like to share with us today?* Just a quick note A suggestion or concern Feedback about an assignment Survey about my overall experience with HPA Full Name* First Last Email* Message*What is your feedback about? Clinical experience Recruiter interaction Credentialing process Payroll Technology or platform Other Please describe your concern or suggestionUrgency LevelLowMediumHighWould you like a follow-up? Yes No Phone*Facility or Assignment LocationYour Role TypeSelect RoleCRNANurseNurse PractitionerPhysicianPhysician AssistantAssignment Start Date MM slash DD slash YYYY Assignment End Date MM slash DD slash YYYY Pre-AssignmentHow smooth was your onboarding process? 1 2 3 4 5 Were you informed of all compliance and Occuhealth requirements? Yes No Work EnvironmentRate the overall work environment. 1 2 3 4 5 Did you feel supported and equipped to do your job? 1 2 3 4 5 How would you describe the workload? (1 = Light, 5 = Overwhelming) 1 2 3 4 5 How flexible or reliable was your scheduling? 1 2 3 4 5 Housing & LogisticsWas housing provided? Yes No Rate the quality and convenience of the housing. 1 2 3 4 5 How was your experience with travel and relocation logistics? 1 2 3 4 5 How was your experience with reimbursement or allowances? 1 2 3 4 5 Overall ExperienceOverall satisfaction with this assignment. 1 2 3 4 5 Likelihood to recommend this assignment to another clinician. 1 2 3 4 5 Any challenges or suggestions you’d like to share?May we follow up with you? Yes No How did you first hear about HPA Healthcare?Referral from another providerJob boardSocial mediaHPA recruiterEmail or newsletterWebsiteOtherHow would you rate your overall experience with HPA? 1 2 3 4 5 What stood out most about working with us?What could we improve?Would you recommend HPA to a colleague? Yes No Anything else you'd like to share?Can we contact you for a testimonial or follow-up? Yes No
