NUR 4106 Evaluation of Preceptor by the Student
NUR 4106 Evaluation of Preceptor by the Student
Date
Date
/
MM
/
DD
YYYY
Preceptor's Name
Preceptor's Name
First
Last
Clinical Site
Directions:
This form is designed to determine your perceptions of the preceptor's contribution to the clinical experience. Read each item carefully before you respond.
Opportunties were provided to meet the your learning objectives.
*
Opportunties were provided to meet the your learning objectives.
agree
neutral
disagree
The preceptor created an atmosphere conducive to learning.
*
The preceptor created an atmosphere conducive to learning.
agree
neutral
disagree
The preceptor was interesting in you as an individual.
*
The preceptor was interesting in you as an individual.
agree
neutral
disagree
The preceptor was organized in direction and guidance.
*
The preceptor was organized in direction and guidance.
agree
neutral
disagree
The prceptor communicated effectively.
*
The prceptor communicated effectively.
agree
neutral
disagree
The preceptor demonstrated objectivity.
*
The preceptor demonstrated objectivity.
agree
neutral
disagree
The preceptor functioned as a role model.
*
The preceptor functioned as a role model.
agree
neutral
disagree
Comments
Student's Name
Student's Name
First
Last