FIS Clinic Evaluation 2011
(Last update: 25.10.2011 13:13)
Name
First Name
Adress
Post Code
Location
Country
Tel
Fax
GSM
E-Mail
Clinic
Clinic Evaluation
Pace of clinic training
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Printed materials
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Digital materials
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Pre-clinic organization
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Clinic organization
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Clinic facilities
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Ease of travel/location
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Overall proctor instruction
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Proctor Evaluation
Proctor Name 1)
Knew the rules
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Communicated effectively
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Had a good teaching manner
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Answered questions fairly
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Proctor Name 2)
Knew the rules
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Communicated effectively
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Had a good teaching manner
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Answered questions fairly
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Proctor Name 3)
Knew the rules
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Communicated effectively
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Had a good teaching manner
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Answered questions fairly
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Proctor Name 4)
Knew the rules
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Communicated effectively
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Had a good teaching manner
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Answered questions fairly
Please select...
4= excellent
3= acceptable
2= okay but needs improvement;
1= poor
Other
Comments
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