Placement Feedback Form Template

Measure what matters and win more business. This placement feedback form lets client contacts rate your staffing agency across candidate quality, communication, speed, and professionalism — with open-ended fields for specifics — giving you the service intelligence to retain accounts, win referrals, and identify gaps before they cost you a client.

Free for non-commercial projects, with unlimited forms and responses.

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The starting point

About this template

Most staffing agencies lose clients not because of a catastrophic failure, but because of a slow accumulation of unaddressed friction — a candidate who was a skill stretch, a week's lag in communication, a coordinator who changed without introduction. The client never complained; they just moved to a competitor at the next opportunity. A post-placement feedback form is how you catch those signals before they become churn.

More about this template

This template collects structured satisfaction ratings across the dimensions clients care most about: candidate quality, communication, speed of placement, and agency professionalism. The 1–5 scale with descriptive anchors makes ratings comparable across clients and over time — you can track average scores by account manager, by client industry, and by placement type to identify exactly where service delivery is slipping.

formformform makes it dead simple to deploy this survey. After each placement, send your client contact the form link with a brief email. There's no login required — they click, rate, and submit in under two minutes. Feedback lands in your agency leadership inbox immediately, creating a closed-loop process where every placement generates actionable service data.

15 fields to make your own10 required in this starting form

Make it fit your workflow.

Use your own copy to change labels, remove questions and add the details you need. Try the preview alongside this guide to see what respondents will be asked.

The questions, explained

Fields in this template

Review the starting questions and choices. You can change them in your own copy.

  • Short answerRequired

    Your Name (Client Contact)

    Jane Smith

  • Email addressRequired

    Your Email

    jane@company.com

  • Short answerRequired

    Company Name

    Acme Corporation

  • Short answerRequired

    Staffing Agency Name

    Elite Staffing Solutions

  • Short answerOptional

    Account Manager Name

    John Recruiter

  • Short answerOptional

    Placed Worker Name

    Alex Johnson

  • DateOptional

    Placement Start Date

  • Single choiceRequired

    Candidate Quality (skills, qualifications, and fit for the role)

    5 choices
    • 1 – Very Dissatisfied
    • 2 – Dissatisfied
    • 3 – Neutral
    • 4 – Satisfied
    • 5 – Very Satisfied
  • Single choiceRequired

    Communication (responsiveness, clarity, proactive updates)

    5 choices
    • 1 – Very Dissatisfied
    • 2 – Dissatisfied
    • 3 – Neutral
    • 4 – Satisfied
    • 5 – Very Satisfied
  • Single choiceRequired

    Speed of Placement (time from request to qualified candidate presented)

    5 choices
    • 1 – Very Dissatisfied
    • 2 – Dissatisfied
    • 3 – Neutral
    • 4 – Satisfied
    • 5 – Very Satisfied
  • Single choiceRequired

    Professionalism (agency team conduct, expertise, and reliability)

    5 choices
    • 1 – Very Dissatisfied
    • 2 – Dissatisfied
    • 3 – Neutral
    • 4 – Satisfied
    • 5 – Very Satisfied
  • Single choiceRequired

    Overall Satisfaction with This Placement

    5 choices
    • 1 – Very Dissatisfied
    • 2 – Dissatisfied
    • 3 – Neutral
    • 4 – Satisfied
    • 5 – Very Satisfied
  • Long answerOptional

    What Went Well?

    Describe what the agency did well during this placement — communication, candidate quality, speed, etc.

  • Long answerOptional

    What Could Be Improved?

    Share any areas where the agency could better serve your needs — candidate quality, communication, process, etc.

  • Single choiceRequired

    Would You Use This Agency Again for Future Staffing Needs?

    5 choices
    • Yes, definitely
    • Yes, probably
    • Not sure
    • Probably not
    • No
Where it fits

Who uses this template

Suggested uses, and why this starting point can help. Adapt the questions to your own process.

Staffing agencies seeking client satisfaction data

Collects ratings from warehouse and manufacturing supervisors on whether placed temp workers met production pace, safety standards, and attendance expectations.

Recruiting firms measuring placement quality

Gathers client ratings on contract developer technical fit, sprint contribution, and communication quality after a software project placement concludes.

Managed service providers (MSP) evaluating supplier agencies

Get a useful brief before the first conversation. Written context helps you assess fit, prepare questions and decide what to discuss next. Review “Communication (responsiveness, clarity, proactive updates)” in particular and adapt it to the detail you need.

Executive search firms tracking client NPS

Collects board member or CEO ratings on search firm candidate quality, process transparency, and timeline adherence after a completed C-suite search.

Healthcare staffing agencies monitoring per-diem satisfaction

Captures hospital unit manager ratings on per-diem nurse clinical competency, patient interaction, and credentialing accuracy after a locum or per-diem shift.

Light industrial staffing offices tracking client retention

Collects ratings from warehouse and manufacturing supervisors on whether placed temp workers met production pace, safety standards, and attendance expectations.

IT staffing companies gathering engagement feedback

Gathers client ratings on contract developer technical fit, sprint contribution, and communication quality after a software project placement concludes.

On-demand staffing platforms rating service delivery

Gathers client ratings on contract developer technical fit, sprint contribution, and communication quality after a software project placement concludes.

What's included

Five service dimensions rated on a 1–5 satisfaction scale
Ratings for candidate quality, communication, speed, professionalism, and overall satisfaction
Open-text 'what went well' and 'what could improve' fields
Would-use-again question for net promoter signal
Worker name and account manager fields for attribution
Placement start date for longitudinal analysis
Instant notification to agency leadership on submission
No login required for clients — frictionless feedback experience

How to create a placement feedback form

  1. 1

    Click 'Use this template' to get the placement feedback form pre-built in your formformform account.

  2. 2

    Customize the rating dimension labels if your agency uses different service quality categories — for example, add 'Compliance Support' for healthcare clients or 'Technical Screening Quality' for IT placements.

  3. 3

    Set up email notifications to route to your client services manager or agency principal.

  4. 4

    Build the form send into your post-placement workflow — schedule the feedback request 2–4 weeks after a worker starts, once the client has had time to evaluate the placement.

  5. 5

    Create a tracking system — export submissions monthly and calculate average scores by account manager and client to surface patterns.

  6. 6

    Share positive feedback scores with your team to reinforce strong service behaviors.

Best practices for your placement feedback form

Send the feedback request 2–4 weeks after placement, not immediately

clients need time to actually experience the worker before they can rate candidate quality meaningfully.

Make the 'would you use us again' radio required

this single question is your most actionable retention signal, and clients who say 'probably not' should trigger an immediate relationship recovery conversation.

Keep ratings anonymous for the worker, not the client

knowing which client and account manager a rating came from is essential for coaching and account management; feedback that's completely anonymous can't drive action.

Act on every 'dissatisfied' rating within 24 hours

slow responses to negative feedback confirm the client's impression; a same-day call acknowledging the issue and committing to resolution can save the account.

Aggregate scores by account manager

individual placement ratings are useful, but cumulative scores by account manager reveal coaching opportunities and identify your highest-performing recruiting staff.

Share aggregate scores transparently with clients

publishing quarterly satisfaction data in account reviews demonstrates commitment to service quality and gives clients the context that you're constantly improving.

12 form ideas you can build with this template

Light Industrial Client Satisfaction Survey

Collects ratings from warehouse and manufacturing supervisors on whether placed temp workers met production pace, safety standards, and attendance expectations.

IT Staffing Engagement Feedback Form

Gathers client ratings on contract developer technical fit, sprint contribution, and communication quality after a software project placement concludes.

Healthcare Staffing Client Survey

Captures hospital unit manager ratings on per-diem nurse clinical competency, patient interaction, and credentialing accuracy after a locum or per-diem shift.

Executive Search Client Feedback

Collects board member or CEO ratings on search firm candidate quality, process transparency, and timeline adherence after a completed C-suite search.

Event Staffing Post-Event Feedback Form

Lets event planners and venue managers rate staffing agency performance on worker punctuality, professionalism, and role fit immediately following a catered event.

Administrative Temp Placement Survey

Gathers office manager ratings on temp worker accuracy, communication, and cultural fit after an administrative coverage placement concludes.

MSP Supplier Agency Scorecard Form

Structures quarterly supplier agency ratings by an MSP program manager across fill rate, compliance, candidate quality, and billing accuracy for vendor management.

Construction Staffing Client Feedback

Collects foreman and project manager ratings on trade worker skill level, safety adherence, and attendance reliability after a project-based staffing engagement.

Legal Staffing Client Review Form

Gathers law firm partner ratings on contract attorney work product quality, deadline adherence, and matter-specific expertise after a contract engagement.

Finance Staffing Client Satisfaction Survey

Captures CFO and controller ratings on interim finance staff competency, ERP system ramp-up speed, and close process support during a controller coverage placement.

Seasonal Retail Staffing Feedback

Lets retail district managers rate seasonal staffing agency performance on fill rates, onboarding speed, and worker retention through a holiday peak season.

Security Staffing Client Feedback Form

Collects property manager and event venue ratings on security guard post adherence, incident response, and professional conduct after a security staffing engagement.

Frequently asked questions

How soon after a placement should I send this feedback form?

The ideal timing is 2–4 weeks after the worker starts. This gives the client enough time to assess the placement quality — evaluating too early means the candidate hasn't had time to demonstrate their skills, but waiting too long reduces response rates.

Can I use this form to collect feedback on multiple placed workers at once?

The form is designed for one placement per submission. For clients with multiple active placements, send separate form links for each worker — the placed worker name and start date fields keep the responses organized.

How do I track satisfaction trends over time?

Export your submissions monthly to a spreadsheet and average the rating fields by account manager, client, or placement type. Over time this creates a service quality trend line you can present in client business reviews and internal team meetings.

What if a client gives negative feedback — do they know we'll see their name?

Yes, the form captures the client contact's name and email, so feedback is attributed. In the introduction, being transparent that feedback goes to the agency leadership team (not just the account manager being rated) tends to produce more candid responses.

Can I customize the satisfaction scale to use a 10-point scale instead of 1–5?

Yes. You can edit the radio options for each rating question to use a 0–10 NPS scale, a letter grade scale, or any other rating system your agency prefers. Just update the descriptive label in the paragraph accordingly.

Is this form appropriate for evaluating gig or on-demand staffing engagements?

Yes. For gig and on-demand placements the timing is different — send the feedback request immediately after the shift or event concludes rather than waiting weeks, since the engagement is already complete.

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