Midwest Institute Clinical Extern Affiliate Survey Fenton

Midwest Institute Clinical Extern Affiliate Survey Fenton
Today's Date

MonthDayYear
Date
Site:
Site Supervisory (representative)
Program Name:
Annual Number of Participating Students:
The following survey is being administered to seek your feedback and assess satisfaction relative to program training. The purpose is to collect data regarding a perception of a program's strengths and weaknesses. Results of the surveys are to be shared with the administration, faculty, and advisory board.

Student(s) demonstrate acceptable knowledge and skills upon completion of their in-school training?

	1	2	3	4	5

1 is Worst, 5 is Best

Comment:

Student(s) demonstrate an ability to perform their required tasks?

	1	2	3	4	5

1 is Worst, 5 is Best

Comment:

How likely would you hire a student upon graduation if there was an employment vacancy?

	1	2	3	4	5

1 is Worst, 5 is Best

Comment:

The designated school representative remained in contact with your site providing any necessary support throughout the duration of the student('s) externship experience?

	1	2	3	4	5

1 is Worst, 5 is Best

Comment:
Please provide any comment relative to program strengths and/or weaknesses or any proposed program changes in the instructional activities for currently enrolled students.
Should be Empty: