Employer Survey of Graduates

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* 1. Please complete this survey and submit.

Name of Employee (Optional):

Employer (Company Name):

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* 2. How long has graduate been employed by your company?

Less than 3 months

3 to 6 months

6 months to 1 year

More than 1 year

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* 3. Which of the following areas is the graduate currently employed?

Acute care hopsital

Home health

Rehabiliation center

Private practice

Skilled nursing facility

School system

Other

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* 4. During that time, how long have you personally worked with him/her?

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* 5. On a scale of 1 to 5, where 5 is the best or highest score, how would you rate this employee in each of the following areas?

	0 (N/A)	1 (Poor)	2 (Fair)	3 (Average)	4 (Good)	5 (Excellent)
Job-related conceptual knowledge	Job-related conceptual knowledge 0 (N/A)	Job-related conceptual knowledge 1 (Poor)	Job-related conceptual knowledge 2 (Fair)	Job-related conceptual knowledge 3 (Average)	Job-related conceptual knowledge 4 (Good)	Job-related conceptual knowledge 5 (Excellent)
Job-related technical knowledge	Job-related technical knowledge 0 (N/A)	Job-related technical knowledge 1 (Poor)	Job-related technical knowledge 2 (Fair)	Job-related technical knowledge 3 (Average)	Job-related technical knowledge 4 (Good)	Job-related technical knowledge 5 (Excellent)
Attitude toward work	Attitude toward work 0 (N/A)	Attitude toward work 1 (Poor)	Attitude toward work 2 (Fair)	Attitude toward work 3 (Average)	Attitude toward work 4 (Good)	Attitude toward work 5 (Excellent)
Adaptability	Adaptability 0 (N/A)	Adaptability 1 (Poor)	Adaptability 2 (Fair)	Adaptability 3 (Average)	Adaptability 4 (Good)	Adaptability 5 (Excellent)
Dependability	Dependability 0 (N/A)	Dependability 1 (Poor)	Dependability 2 (Fair)	Dependability 3 (Average)	Dependability 4 (Good)	Dependability 5 (Excellent)
Initiative	Initiative 0 (N/A)	Initiative 1 (Poor)	Initiative 2 (Fair)	Initiative 3 (Average)	Initiative 4 (Good)	Initiative 5 (Excellent)
Interpersonal skills/Employee relations	Interpersonal skills/Employee relations 0 (N/A)	Interpersonal skills/Employee relations 1 (Poor)	Interpersonal skills/Employee relations 2 (Fair)	Interpersonal skills/Employee relations 3 (Average)	Interpersonal skills/Employee relations 4 (Good)	Interpersonal skills/Employee relations 5 (Excellent)
Quality of work	Quality of work 0 (N/A)	Quality of work 1 (Poor)	Quality of work 2 (Fair)	Quality of work 3 (Average)	Quality of work 4 (Good)	Quality of work 5 (Excellent)
Quantity of work	Quantity of work 0 (N/A)	Quantity of work 1 (Poor)	Quantity of work 2 (Fair)	Quantity of work 3 (Average)	Quantity of work 4 (Good)	Quantity of work 5 (Excellent)
Planning and organization	Planning and organization 0 (N/A)	Planning and organization 1 (Poor)	Planning and organization 2 (Fair)	Planning and organization 3 (Average)	Planning and organization 4 (Good)	Planning and organization 5 (Excellent)
Communications - Verbal	Communications - Verbal 0 (N/A)	Communications - Verbal 1 (Poor)	Communications - Verbal 2 (Fair)	Communications - Verbal 3 (Average)	Communications - Verbal 4 (Good)	Communications - Verbal 5 (Excellent)
Communications - Written	Communications - Written 0 (N/A)	Communications - Written 1 (Poor)	Communications - Written 2 (Fair)	Communications - Written 3 (Average)	Communications - Written 4 (Good)	Communications - Written 5 (Excellent)

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* 6. If you had a vacancy, how likely would you be to hire another employee from Mountwest's Physical Therapy Assistant Program?

Very unlikely

Somewhat unlikely

Neutral

Somewhat likely

Very likely

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* 7. Please rate your employee's performance in the following areas:

	N/A	Poor	Fair	Average	Good	Excellent
Providing patient care and safety	Providing patient care and safety N/A	Providing patient care and safety Poor	Providing patient care and safety Fair	Providing patient care and safety Average	Providing patient care and safety Good	Providing patient care and safety Excellent
Performance of assessment skills within the scope of practice	Performance of assessment skills within the scope of practice N/A	Performance of assessment skills within the scope of practice Poor	Performance of assessment skills within the scope of practice Fair	Performance of assessment skills within the scope of practice Average	Performance of assessment skills within the scope of practice Good	Performance of assessment skills within the scope of practice Excellent
Use of physical agents for patient care	Use of physical agents for patient care N/A	Use of physical agents for patient care Poor	Use of physical agents for patient care Fair	Use of physical agents for patient care Average	Use of physical agents for patient care Good	Use of physical agents for patient care Excellent
Use of basic therapeutic exercises	Use of basic therapeutic exercises N/A	Use of basic therapeutic exercises Poor	Use of basic therapeutic exercises Fair	Use of basic therapeutic exercises Average	Use of basic therapeutic exercises Good	Use of basic therapeutic exercises Excellent
Assist with program planning and implementation	Assist with program planning and implementation N/A	Assist with program planning and implementation Poor	Assist with program planning and implementation Fair	Assist with program planning and implementation Average	Assist with program planning and implementation Good	Assist with program planning and implementation Excellent
Documentation	Documentation N/A	Documentation Poor	Documentation Fair	Documentation Average	Documentation Good	Documentation Excellent

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* 8. Please rate your employee's performance in the use of specific rehabilitation programs for patients with:

	N/A	Poor	Fair	Average	Good	Excellent
Orthopedic conditions	Orthopedic conditions N/A	Orthopedic conditions Poor	Orthopedic conditions Fair	Orthopedic conditions Average	Orthopedic conditions Good	Orthopedic conditions Excellent
Orthotic needs	Orthotic needs N/A	Orthotic needs Poor	Orthotic needs Fair	Orthotic needs Average	Orthotic needs Good	Orthotic needs Excellent
Prosthetic needs	Prosthetic needs N/A	Prosthetic needs Poor	Prosthetic needs Fair	Prosthetic needs Average	Prosthetic needs Good	Prosthetic needs Excellent
Cardiac conditions	Cardiac conditions N/A	Cardiac conditions Poor	Cardiac conditions Fair	Cardiac conditions Average	Cardiac conditions Good	Cardiac conditions Excellent
Pulmonary conditions	Pulmonary conditions N/A	Pulmonary conditions Poor	Pulmonary conditions Fair	Pulmonary conditions Average	Pulmonary conditions Good	Pulmonary conditions Excellent
Amputees	Amputees N/A	Amputees Poor	Amputees Fair	Amputees Average	Amputees Good	Amputees Excellent
Adult neurological conditions	Adult neurological conditions N/A	Adult neurological conditions Poor	Adult neurological conditions Fair	Adult neurological conditions Average	Adult neurological conditions Good	Adult neurological conditions Excellent
Spinal cord injuries	Spinal cord injuries N/A	Spinal cord injuries Poor	Spinal cord injuries Fair	Spinal cord injuries Average	Spinal cord injuries Good	Spinal cord injuries Excellent
Pediatric conditions	Pediatric conditions N/A	Pediatric conditions Poor	Pediatric conditions Fair	Pediatric conditions Average	Pediatric conditions Good	Pediatric conditions Excellent
Burns	Burns N/A	Burns Poor	Burns Fair	Burns Average	Burns Good	Burns Excellent
Hydrotherapy/Wound care	Hydrotherapy/Wound care N/A	Hydrotherapy/Wound care Poor	Hydrotherapy/Wound care Fair	Hydrotherapy/Wound care Average	Hydrotherapy/Wound care Good	Hydrotherapy/Wound care Excellent

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* 9. In what areas do you feel that this employee was best prepared for his/her present position?

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* 10. In which areas do you feel additional preparation would be helpful?

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* 11. Which of the following describes you?

Physical therapist

Physical therapist assistant

Other

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* 12. Are you or any of your staff an APTA Credentialed Clinical Instructor? If so, how many:

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* 13. If you have any additional comments, recommendations, etc., please feel free to provide them below.

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* 14. The employee demonstrates knowledge of the core values to include accountability, altruism, collaboration, compassion and caring, duty, excellence, inclusion, integrity, and social responsibility.

Yes

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* 15. Have you had difficulty within the last year filling vacant full time, part time, or PRN PTA positions with qualified applicants?

Yes