WVU Medicine East - Student Affiliation Survey

Thank you for spending time with us here at WVU Medicine East; we hope that you had the best possible learning experience. Please fill out this brief survey about your overall experience each semester you are on campus. Your responses will remain anonymous. The information gathered will be used to improve the quality of our affiliations with you and your school programs.

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* 1. Select year of learning experience(s):

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* 2. Select semester of learning experience(s):

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* 3. What degree were you seeking with your learning experience?

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* 4. Select the facility/facilities where your learning experience took place:

Berkeley Medical Center

Jefferson Medical Center

University Healthcare Physicians (offices)

Dorothy McCormick Center

Medical Office Building 1

Medical Office Building 2

Medical Office Building 3

Other (please specify)

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* 5. Please list the area(s)/unit(s) where your learning experience took place:

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* 6. To what extent did the facility/facilities provide:

	Not at all	To a below average or small extent	To an average or moderate extent	To an above average extent	To a great or large extent	N/A
An atmosphere reflecting professionalism?	An atmosphere reflecting professionalism? Not at all	An atmosphere reflecting professionalism? To a below average or small extent	An atmosphere reflecting professionalism? To an average or moderate extent	An atmosphere reflecting professionalism? To an above average extent	An atmosphere reflecting professionalism? To a great or large extent	An atmosphere reflecting professionalism? N/A
An atmosphere that promotes learning?	An atmosphere that promotes learning? Not at all	An atmosphere that promotes learning? To a below average or small extent	An atmosphere that promotes learning? To an average or moderate extent	An atmosphere that promotes learning? To an above average extent	An atmosphere that promotes learning? To a great or large extent	An atmosphere that promotes learning? N/A
A learning experience that connects theory to practice?	A learning experience that connects theory to practice? Not at all	A learning experience that connects theory to practice? To a below average or small extent	A learning experience that connects theory to practice? To an average or moderate extent	A learning experience that connects theory to practice? To an above average extent	A learning experience that connects theory to practice? To a great or large extent	A learning experience that connects theory to practice? N/A
A learning experience that connects theory to practice?	A learning experience that connects theory to practice? Not at all	A learning experience that connects theory to practice? To a below average or small extent	A learning experience that connects theory to practice? To an average or moderate extent	A learning experience that connects theory to practice? To an above average extent	A learning experience that connects theory to practice? To a great or large extent	A learning experience that connects theory to practice? N/A
A learning experience that connects theory to practice?	A learning experience that connects theory to practice? Not at all	A learning experience that connects theory to practice? To a below average or small extent	A learning experience that connects theory to practice? To an average or moderate extent	A learning experience that connects theory to practice? To an above average extent	A learning experience that connects theory to practice? To a great or large extent	A learning experience that connects theory to practice? N/A
A learning experience that connects theory to practice?	A learning experience that connects theory to practice? Not at all	A learning experience that connects theory to practice? To a below average or small extent	A learning experience that connects theory to practice? To an average or moderate extent	A learning experience that connects theory to practice? To an above average extent	A learning experience that connects theory to practice? To a great or large extent	A learning experience that connects theory to practice? N/A

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* 7. Please rate your overall experience with WVU Medicine East.

Very Poor

Poor

Adequate

Good

Great

Very Poor

Poor

Adequate

Good

Great

WVU Medicine East - Student Affiliation Survey

Question Title

* 1. Select year of learning experience(s):

Question Title

* 2. Select semester of learning experience(s):

Question Title

* 3. What degree were you seeking with your learning experience?

Question Title

* 4. Select the facility/facilities where your learning experience took place:

Question Title

* 5. Please list the area(s)/unit(s) where your learning experience took place:

Question Title

* 6. To what extent did the facility/facilities provide:

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* 7. Please rate your overall experience with WVU Medicine East.

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* 8. If you had a positive experience with a staff member, please list his/her name & location:

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* 9. How could we (as the organization or unit/area) have improved your experience?

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* 10. Additional Comments (be specific to unit/area if applicable):