Question Title

* 1. Name:

Question Title

* 2. Program:

Please complete the following survey so we can assess the viability and value of the experience and training you have received at your externship site.

Question Title

* 3. My knowledge of and the ability to use job site equipment was helpful.

Question Title

* 4. I was able to communicate with my supervisor about the job function.

Question Title

* 5. I had the opportunity to interact with patients / customers.

Question Title

* 6. I was able to get along with other caregivers / co-workers.

Question Title

* 7. My program courses provided prepared me well for the externship.

Question Title

* 8. Overall evaluation of externship experience.

Question Title

* 9. Name of Externship site:

Question Title

* 10. Would you recommend this site for future externs?

Question Title

* 11. How likely would you be interested in returning to FTC to continue your education?

Question Title

* 12. Please enter today's date:

Date
Time

T