VETsurvey
Work Placement Evaluation Questionnaire
Given Names:
Surname:
Date:
Course Name:
Please select...
Not specified...
Certificate III in Health Administration
Certificate III in Health Services Assistance
Certificate III in Individual Support
Certificate IV in Ageing Support
Certificate IV in Health Administration
Diploma of Nursing
EPIQ Program
IRON Program
Provide an emergency first aid response in an education and care setting.
Provide cardiopulmonary Resuscitation (CPR)
Provide First Aid (PFA)
How strongly do you agree or disagree with the following statements?
Did the health service provide an adequate orientation/roster program?
Strongly Disagree
Disagree
Agree
Strongly Agree
Did staff welcome you as a member of the work team?
Strongly Disagree
Disagree
Agree
Strongly Agree
Did staff act as good role models?
Strongly Disagree
Disagree
Agree
Strongly Agree
Did your placement allow you to achieve your placement goals and objectives, and to meet your assessment requirements?
Strongly Disagree
Disagree
Agree
Strongly Agree
Did your placement provide enough opportunity for you to acquire and develop the skills and knowledge needed for your course?
Strongly Disagree
Disagree
Agree
Strongly Agree
Did your placement provide you with sufficient opportunity to interact with patients/clients/other staff?
Strongly Disagree
Disagree
Agree
Strongly Agree
The location, time, and arrangements were suitable
Strongly Disagree
Disagree
Agree
Strongly Agree
Did you get enough support and guidance from staff during your placement?
Strongly Disagree
Disagree
Agree
Strongly Agree
What comments do you have about how your placement was arranged or coordinated? Is there anything Alpine Health/Institute should do differently?
Please comment on what we could do to increase the learning opportunities while on placement?
Do you have any further comments or suggestions that may help us improve the program?
Do you feel overall that your work placement was beneficial to your learning?
Strongly Disagree
Disagree
Agree
Strongly Agree
Please provide an overall rating of your placement:
Excellent
Satisfactory
Unsatisfactory
Testimonial
I give permission to Alpine Institute to use comments and testimonials provided by me through the evaluation process in the review of course delivery and in future marketing materials.
Please draw your signature in the box below...
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