Catalyst & Larsen Sports Medicine Athletic Training Services
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1
. Which school or organization do you represent?
Which school or organization do you represent?
Hudson School District
Saint Croix Central School District
Hudson Crusaders
Other (please specify)
2
. What sport do you represent?
What sport do you represent?
Football
Volleyball
Soccer (Girls)
Soccer (Boys)
Basketball (Girls)
Basketball (Boys)
Hockey (Girls)
Hockey (Boys)
Track (Girls)
Track (Boys)
Swim/Dive (Girls)
Swim/Dive (Boys)
Cross Country (Girls)
Cross Country (Boys)
Wrestling
Tennis (Girls)
Tennis (Boys)
Golf (Girls)
Golf (Boys)
Cheer & Stunt
Dance
3
. How would you rate the Athletic Training Services provided by Catalyst Institute & Larsen Sports Medicine?
0 (Poor)
1
2
3
4
5 (Average)
6
7
8
9
10 (Excellent)
N/A
Rating
*
How would you rate the Athletic Training Services provided by Catalyst Institute & Larsen Sports Medicine? Rating 0 (Poor)
Rating 1
Rating 2
Rating 3
Rating 4
Rating 5 (Average)
Rating 6
Rating 7
Rating 8
Rating 9
Rating 10 (Excellent)
Rating N/A
4
. Please rank the following attributes that we look for in our Athletic Training Services:
1 (Poor)
2 (Below Average)
3 (Average)
4 (Above Average)
5 (Excellent)
N/A
Communication
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Please rank the following attributes that we look for in our Athletic Training Services: Communication 1 (Poor)
Communication 2 (Below Average)
Communication 3 (Average)
Communication 4 (Above Average)
Communication 5 (Excellent)
Communication N/A
Organization
Organization 1 (Poor)
Organization 2 (Below Average)
Organization 3 (Average)
Organization 4 (Above Average)
Organization 5 (Excellent)
Organization N/A
Patient Care
Patient Care 1 (Poor)
Patient Care 2 (Below Average)
Patient Care 3 (Average)
Patient Care 4 (Above Average)
Patient Care 5 (Excellent)
Patient Care N/A
Timeliness
Timeliness 1 (Poor)
Timeliness 2 (Below Average)
Timeliness 3 (Average)
Timeliness 4 (Above Average)
Timeliness 5 (Excellent)
Timeliness N/A
5
. Please rank the following attributes of our athletic training program:
1 (Poor)
2 (Below Average)
3 (Average)
4 (Above Average)
5 (Excellent)
N/A
Communication
*
Please rank the following attributes of our athletic training program: Communication 1 (Poor)
Communication 2 (Below Average)
Communication 3 (Average)
Communication 4 (Above Average)
Communication 5 (Excellent)
Communication N/A
Organization
Organization 1 (Poor)
Organization 2 (Below Average)
Organization 3 (Average)
Organization 4 (Above Average)
Organization 5 (Excellent)
Organization N/A
Patient Care
Patient Care 1 (Poor)
Patient Care 2 (Below Average)
Patient Care 3 (Average)
Patient Care 4 (Above Average)
Patient Care 5 (Excellent)
Patient Care N/A
Timeliness
Timeliness 1 (Poor)
Timeliness 2 (Below Average)
Timeliness 3 (Average)
Timeliness 4 (Above Average)
Timeliness 5 (Excellent)
Timeliness N/A
6
. Please assess the following athletic trainers you have had interaction with:
1 (Poor)
2
3
4
5
6
7
8
9
10 (Excellent)
N/A
Brine, Nate
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Please assess the following athletic trainers you have had interaction with: Brine, Nate 1 (Poor)
Brine, Nate 2
Brine, Nate 3
Brine, Nate 4
Brine, Nate 5
Brine, Nate 6
Brine, Nate 7
Brine, Nate 8
Brine, Nate 9
Brine, Nate 10 (Excellent)
Brine, Nate N/A
Chezik, Stacey
Chezik, Stacey 1 (Poor)
Chezik, Stacey 2
Chezik, Stacey 3
Chezik, Stacey 4
Chezik, Stacey 5
Chezik, Stacey 6
Chezik, Stacey 7
Chezik, Stacey 8
Chezik, Stacey 9
Chezik, Stacey 10 (Excellent)
Chezik, Stacey N/A
Calarkson, Lauren
Calarkson, Lauren 1 (Poor)
Calarkson, Lauren 2
Calarkson, Lauren 3
Calarkson, Lauren 4
Calarkson, Lauren 5
Calarkson, Lauren 6
Calarkson, Lauren 7
Calarkson, Lauren 8
Calarkson, Lauren 9
Calarkson, Lauren 10 (Excellent)
Calarkson, Lauren N/A
Guzman, Justin
Guzman, Justin 1 (Poor)
Guzman, Justin 2
Guzman, Justin 3
Guzman, Justin 4
Guzman, Justin 5
Guzman, Justin 6
Guzman, Justin 7
Guzman, Justin 8
Guzman, Justin 9
Guzman, Justin 10 (Excellent)
Guzman, Justin N/A
Lenards, Jenna
Lenards, Jenna 1 (Poor)
Lenards, Jenna 2
Lenards, Jenna 3
Lenards, Jenna 4
Lenards, Jenna 5
Lenards, Jenna 6
Lenards, Jenna 7
Lenards, Jenna 8
Lenards, Jenna 9
Lenards, Jenna 10 (Excellent)
Lenards, Jenna N/A
Saunders, Amanda
Saunders, Amanda 1 (Poor)
Saunders, Amanda 2
Saunders, Amanda 3
Saunders, Amanda 4
Saunders, Amanda 5
Saunders, Amanda 6
Saunders, Amanda 7
Saunders, Amanda 8
Saunders, Amanda 9
Saunders, Amanda 10 (Excellent)
Saunders, Amanda N/A
Schulz, Heidi
Schulz, Heidi 1 (Poor)
Schulz, Heidi 2
Schulz, Heidi 3
Schulz, Heidi 4
Schulz, Heidi 5
Schulz, Heidi 6
Schulz, Heidi 7
Schulz, Heidi 8
Schulz, Heidi 9
Schulz, Heidi 10 (Excellent)
Schulz, Heidi N/A
7
. Please comment on strengths that the current Athletic Training Program displays:
Please comment on strengths that the current Athletic Training Program displays:
8
. Please comment on any areas the current Athletic Training Program can improve on:
Please comment on any areas the current Athletic Training Program can improve on:
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