External Clinical Experience Student Survey

The following survey is being administered to seek your feedback and assess satisfaction relative to yourprogram training. The purpose is to collect data regarding a perception of a program’s strengths andweaknesses. Results of the surveys are to be shared with the administration, faculty, and advisory board.

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* 1. STUDENT NAME:

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* 2. PROGRAM NAME:

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* 4. INSTRUCTOR/SUPERVISOR:

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* 5. TODAY’S DATE:

Date

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* 6. Ability to apply the school coursework to the externship workplace?

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* 7. In-school training environment exposed you to relevant work experiences in theory and laboratory courses, as applicable?

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* 8. Site supervisor adequately explained your function as a student at the externship site?

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* 9. Were you provided opportunities to practice a variety of learned tasks and procedures?

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* 10. The orientation to the facility and daily routine of the facility, in addition to opportunities to observe before performing tasks was beneficial?

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* 11. The externship experience complemented and enhanced my in-school training?

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* 12. What duties do you wish you had more time to practice during externship?

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* 13. What area(s) should be improved or changed at the externship site that would be helpful for students to get a more applicable experience?

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* 14. OVERALL EVALUATION OF EXTERNSHIP EXPERIENCE

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* 15. How likely are you to recommend this site for future students?

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