Evaluate the clinical preceptor ship on each item listed.
| 1. Preceptor Name: |
| 2. Clinical Area: |
3. A preceptorship experience in this clinical area provides adequate opportunities to enhance the student's clinical skills and knowledge. Strongly Disagree |
4. A preceptorship experience in this clinical area provides adequate opportunities to strengthen the student's commnication skills with other members of the health care team. Strongly Disagree |
5. A preceptorship experience in this clinical area provides adequate opportunities to individualize learning experiences in the role of provider of care. Strongly Disagree |
6. The length of the clinical preceptorship is adequate to meet the student's objectives. Strongly Disagree |
7. The length of the clinical preceptorship is adequate to evaluate the student's performance. Strongly Disagree |
8. The clinical preceptorship enhanced patient care. Strongly Disagree |
9. The faculty liaison was available for questions, concerns or problems. Strongly Disagree |
10. The on-line preceptor orientation adequately prepared me for the clinical preceptorship experience. Strongly Disagree |
11. The clinical preceptorship is a valuable experience for nursing students. Strongly Disagree |
12. I will consider partcipating in the clinical preceptorship in the future. Strongly Disagree |
| 13. Comments: |
Complete this form and print out a copy to be given to the Instructor/Coordinator at your college. The completed form will not automatically be forwarded to you college.