Graduate Student Evaluation of Clinical Site


Student Name
Course Number
Course Number
This survey is a measure of preceptor effectiveness from the perspective of the student. Please complete one survey for each preceptor you encountered this term.

Semester
Clinical Site Location
Rate your agreement with the following statements about the clinical site and preceptor identified above.
 
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Student is given adequate time to see patients
There are sufficient numbers of clients with varied ages, conditions, etc.
Student is allowed to select the clients according to the students need
Student is given opportunity to follow up with clients and/or problems of interest
Reports from lab and/or radiology are available for review
Support staff are helpful to student and accepting of the student’s role
The philosophy of the clinic supports health promotion and disease prevention
Instructional materials are available for clients to supplement their learning
Community resources, other agencies, and professional disciplines are involved with client’s welfare