The document appears to be a survey conducted by ATR Client in 2008 evaluating 9 metrics related to staffing. It provides the results of the survey for each metric in 2005, 2007, and 2008, showing the number of respondents who rated each metric as poor, average, good, or excellent. For most metrics, the average scores improved between 2005 and 2007 and either stayed the same or declined slightly between 2007 and 2008.