Thank you for choosing Burger for your clinical rotation. It is our desire to provide a positive educational experience for our clinical interns. We would appreciate you taking a couple of minutes to complete this survey and provide your feedback regarding the affiliation.  Your feedback will be reviewed by the executive leadership team but otherwise will be kept confidential. 

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* 1. Facility where you did your rotation:

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* 2. Clinical Instructor's name:

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* 3. Clinical affiliation dates:

Date
Date

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* 4. How satisfied were you with your overall experience?

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* 5. How satisfied were you with the onboarding and orientation process?

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* 6. How satisfied were you with the level of supervision you received from your clinical instructor?

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* 7. How satisfied were you with the level of clinical education and training you received from your clinical instructor?

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* 8. How satisfied were you with you clinical instructor's accessibility and availability?

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* 9. How satisfied were you with the friendliness, inclusiveness, and helpfulness of the rest of the staff (other therapists, aides, front office)?

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* 10. Do you feel that the evaluation you received from your Clinical Instructor was fair and accurate?

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* 11. Please provide any additional information or thoughts you have about your clinical rotation with us.

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* 12. Are you scheduled to take your national licensing exam? 

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* 13. Are you scheduled to take your California Laws and Regulations exam? 

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* 14. Are you interested in job opportunities?

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* 15. Contact information

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* 16. Best way to contact you:

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