Student and Faculty Clinical Survey

1. The instructors followed the policies and procedures of the organization.

2. The instructors were friendly and communicated well with staff.

3. The instructors presented a professional appearance.

4. I am satisfied with the performance of the instructors.

1. Students were willing to observe or perform procedures within their scope of practice.

2. Students interacted courteously and professionally with staff and clients.

3. Students presented a professional appearance and displayed professional behavior.

4. Students reported appropriate information to the charge nurse/team leader.

5. Students were self-confident but asked for assistance when necessary.

6. I am satisfied with the clinical performance of the students.

1. All student responsibilities were completed.

2. Students and instructor reported off to charge nurse/team leader.

3. I am satisfied with partnering with Applied Tech in educating practical nurses.

1. Do you have any other comments, questions, or concerns?

2. Please tell us which facility you are representing.^*