FELLOWSHIP EVALUATION TEMPLATE
Name of Institution
*
Dates of Fellowship (Start)
*
.
Tag
.
Monat
Jahr
2 digit day, 2 digit month, 4 digit year
From
Dates of Fellowship (End)
*
.
Tag
.
Monat
Jahr
2 digit day, 2 digit month, 4 digit year
To
Was information provided on the ESPRAS webpage accurate?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
How do you rate the application process?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
How do you rate the communication with the host?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Were your clinical expectations met?
*
Not at all
1
2
3
4
5
6
7
8
9
Completely
10
1 is Not at all, 10 is Completely
How do you rate the atmosphere at the institution?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Would you recommend applying for a fellowship at this institution?
*
Yes
No
How do you rate your overall fellowship experience?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
New things learned:
*
Suggestions for Improvement:
*
Other Remarks:
Submit
Should be Empty: