Student Evaluation

Student Evaluation of Field Instructor and Field Site
The Student Evaluation of Fieldwork Experience is an important tool for the field instructor, faculty, and students. This evaluation provides information vital to each field site. Information from the student is one method utilized in evaluating the effectiveness of academic preparation as well as the value of the fieldwork learning experience.
Student Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Field Instructor Name

First NameLast Name
Agency Name
Agency Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Field Site and Instructor Evaluation 1=Strongly disagree 2=Disagree 3=Agree 4=Strongly Agree

Rows	1	2	3	4
Agency orientation was received at the beginning of my Practicum.
The orientation process was helpful.
The field instructor provided me with weekly supervision.
The field instructor assisted in developing a Goal and Learning plan with appropriate objectives and activities.
Agency personnel made me feel welcome.
The feedback I received was helpful in building my skills.
The agency afforded me the opportunity to demonstrate competence in all areas of the Goal and learning plan.
I had the opportunity to observe practice skills used by agency personnel.
Assistance in evaluating my progress, increasing self-awareness and assessing professional growth.
The evaluation I received was fair and accurate.
I received quality field instruction during this placement

Describe the client population you worked with during your practicum experience.
Would you recommend this site to another student? Why or Why not?
Should be Empty:

Student Evaluation of Field Instructor and Field Site