Clinical Experience Questionnaire

Please fill out the following form to rate your experience on a scale of one to five stars at the clinical attended. Please be honest as we collect this data to be sure we are sending our students to clinical will provide good learning environments and opportunities!
* Required

1. What Clinical Site did you attend? *

2. I enjoyed my time at this clinical site *

star5 star4 star3 star2 star1

3. The clinical staff was supportive of my role *

star5 star4 star3 star2 star1

4. The site helped facilitate my learning objectives. *

star5 star4 star3 star2 star1

5. My preceptor helped facilitate my learning objectives. *

star5 star4 star3 star2 star1

6. I would recommend this site to another student. *

star5 star4 star3 star2 star1

7. If you have any comments you would like to leave about the site or staff at this facility please add below.

8. If you have any feedback you would like to leave about your clinical instructor please add below. None of the instructors will see this. We will just be using this to gage if an instructor needs to improve in areas, or to highlight instructors who go above and beyond.