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Feedback Survey Questions for Student Learners Completing their Placement at GRH
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1.
What type of student are you?
(Required.)
High school
Undergraduate
Graduate-entry Masters
Post Doctoral
Diploma
Other (please specify)
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2.
In what discipline are you currently studying?
(Required.)
Nursing - BScN
Nursing - Practical Nursing
Masters of Science in Nursing
Physics
Pharmacy
Physiotherapy
Occupational Therapy
Respiratory Therapist
Masters of Social Work
Medical Lab Technician
Dietician
Medical/Health Office Administration
Health Information Management
Recreation Therapy
Clinical Pastoral Education
Child Life Specialist
Psychology
Pharmacy
Medical Radiation Science
Ultrasound
Music Therapy
Supply Chain
Other (please specify)
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3.
What school are you currently enrolled at? (please write the full name of the school i.e. University of Toronto rather than UofT)
(Required.)
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4.
What is your current year of study?
(Required.)
1st
2nd
3rd
4th
5th
Other (please specify)
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5.
When was your placement at GRH? (please include the month you started and year)
(Required.)
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6.
How long was your placement?
(Required.)
4 months
8 months
1 year
Other (please specify)
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7.
Were you in a collaborative learning placement (more than one student working with one supervisor)?
(Required.)
Yes
No
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8.
Which clinical area was your placement in (i.e. Medicine, Oncology, etc.)?
(Required.)
Current Progress,
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