Your Company's Name: 

Street Address: 

City/Town:         

State:    Zip Code:     Phone: 

Your Name: 

Your Position: 

Your Email: 

Your Company's Website Address: 

So, we don't have 29 points to make your love connection, but we do have 19 points to make your job connection!!!   The following questions pertain to the benefits that your company offers.  Choose the one that CLOSEST represents your company....

1. What size is your company? Choose One... Small (1-10 Recruiters) Medium (11-49 Recruiters) Large (50-100 Recruiters) Mega (Over 101 Recruiters)
2. What area does your company specialize in?  Choose One... United States United States and International International Only Southwest Northwest Southeast Northeast SouthCentral NorthCentral
3. What kind of health insurance does your facility provide in free for nurses?  Choose One... Free For Nurses Small Fee For Nurses Nurse Pay For Insurance I Do Not Have A Clue No Insurance Provided
4. What is the co-pay for the nurses?  Choose One... Less than $20 More than $20, Less than $50 More than $50 okay I do not have a clue Not Applicable
5. How much for the insurance deductible?    Choose One... $500 or less $1000 or less More than $1000 I Do Not Have A Clue Not Applicable
6. When does your companies health insurance start? Choose One.... First Day After 30 days After 90 Days I Do Not Have A Clue No insurance Provided
7. What type of housing is provided?  Choosed One One Bedroom Only Two Bedroom Negotiable Not Available
8. Does your company offer free utilities, including basic cable and basic phone?  Choosed One Housing and Electric Only Housing, Electric, and Cable Housing, Electric, and Basic Phone Housing, Electricity, Cable and Phone Housing, Electric, Cable, Phone and Internet Not Available
9. Is corporate housing available?  Choosed One Most Definitely Negotiable Not Available
10. What type of Retirement does your company offer?  Choosed One 401K with No Company Match 401K with Some Company Match Not Available
11. How often does your company offer pay checks?  Choosed One Daily Weekly Every Other Week Once A Month
12. What type of "sick day" policy does your company have?  Choosed One Nurse Charged For Any Days Missed Nurse Can Make Up Days Before End Of Contract Up To Three Days Are Excused Paid Time Off Can Be Used No Company Policy Available
13. Does your company offer one month off between assignments without penalty (with next contract pending)?  Choosed One Month Off Okay - No Payment Of Benefits Month Off Okay - Must Pay Benefits Losses All Benefits If Takes Month Off Not Available
14. Does your company pay for pre-employment physical and drug screen?  Choosed One Only Drug Screens Only Physicals Both Drug Screens and Physicals Not Available
15. What type of continuing education does your company offer?  Choosed One BLS Only BLS and ACLS Only Any Certifications Any Continuing Education Continuing Education Plus College Credits Not Available
16. Does your company offer a rental car package or stipend? Choosed One Rental Car Provided Rental Car Provided As Needed Rental Car Stipend Provided Not Available
17. Does your company offer the tax advantage program?  Choosed One Regular Pay Only Tax Advantage Program Available For All Tax Advantage Program For Only Those Who Have a Tax Home Not Available
18. Is your company representative willing to take time out to match recruiter personality with traveler personality?  Choosed One Definitely Will Match Nurse To Recruiter Not Available
19. Has your company read and agreed with the terms and conditions of partnering with Epstein?  Choosed One Yes Heck No - She is Crazy!!!