* Required Information
EXTERNSHIP STUDENT SURVEY
Date
Student Name
*
Program
*
Externship Site
Supervisor
*
Please complete the following survey so that we can assess the viability of the experience and training you have recieved at your externship site.
1. Were you able to apply the school course work to the externship workplace?
Yes
No
Comment
2. Did the program training prepare you to use the externship site equipment?
Yes
No
Comment
3. Did your supervisor explain your function as an extern?
Yes
No
Comment
4. Were you provided an opportunity to interact with patients?
Yes
No
Comment
5. Generally, does the supervisor and site display a positive attitude towards students?
Yes
No
Comment
Submit