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1. Facility name and address:

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2. Course in which survey is completed:

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3. Type of facility:

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4. As an FWE of an ICTC OTA student, rate the following:

  Strongly Agree Agree Disagree Strongly Disagree Not Applicable
ICTC/CSC OTA students possess the level of knowledge expected for the level of FW completed.
ICTC/CSC OTA students are able to apply theory knowledge to practice as expected for the level of FW completed.
ICTC/CSC OTA students possess the level of competency in skills as expected for the level of FW completed..
ICTC/CSC OTA students demonstrate the organization and management skills expected for the level of FW completed.
ICTC/CSC OTA students communicate effectively with other members of the health care team.
ICTC/CSC OTA students demonstrate an understanding of the legal and ethical scope of practice.
ICTC/CSC OTA students exhibit ethical characteristics as listed in the AOTA Code of Ethics.
ICTC/CSC OTA students work as a team member for the good of the patients and institution.
ICTC/CSC OTA students are willing to learn and accept guidance appropriately.
ICTC/CSC OTA students demonstrate appropriate understanding of delegation and supervision.
ICTC/CSC OTA students meet the expectations related to professional appearance.
ICTC/CSC OTA students meet expectations related to punctuality and attendance.
ICTC/CSC OTA students demonstrate the necessary "work readiness" expected at the entry level (e.g.: flexibility, compassion, ability to work well with others, etc.)
ICTC/CSC OTA students have the expected levels of knowledge and skills to meet the demands needed for success in the workplace.
I would be willing to accept more OTA students from ICTC/CSC.
I would recommend graduates from ICTC/CSC to others who may be seeking to hire.
I am satisfied with the ICTC/CSC OTA students that I have supervised.
ICTC/CSC OTA students demonstrate consistency and sound judgement with safety regulations.

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5. Please add additional comments, recommendations, or list program strengths.

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