CCRI CAPSTONE PRECEPTOR TRAINING

CCRI CAPSTONE PRECEPTOR TRAINING EVALUATION

Question Title

* 1. Please enter your contact information. This is for nursing department use only and will not be shared.

Name

Employer

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please indicate your Lab Coat Size.

Small

Medium

Large

XL

Other (please specify)

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* 3. I have viewed all of the modules in the preceptor training from the Preceptor Training Initiative.

Yes, I have viewed all modules.

No, I have not viewed all modules. (If you are answering No, please stop taking this survey and return to the modules for completion.)

Question Title

* 4. Please evaluate the preceptor training provided.

Excellent

Good

Fair

Poor

Excellent

Good

Fair

Poor

Other (please specify)