NUR 4106 Evaluation of Preceptor's Experience
NUR 4106 Evaluation of Preceptor's Experience
This form is for preceptor to provide feedback on the clinical experience.
Date
*
/
MM
/
DD
YYYY
Preceptor's name
*
First
Last
Clinical site
*
Directions:
This form is designed to determine your perceptions of the clinical preceptor experience. Read each item carefully before you respond.
The preceptorship experience was positive.
*
agree
neutral
disagree
Adequate guidance for the experience was provided.
*
agree
neutral
disagree
Faculty provided support and guidance during the preceptorship experience.
*
agree
neutral
disagree
I would recommend this experience to other staff nurses.
*
agree
neutral
disagree
I would participate in this experience again.
*
agree
neutral
disagree
I would recommend continuing this experience as part of the distance education curriculum.
*
agree
neutral
disagree
What positive experience did you have?
*
What experiences did you find frustrating?
*
What would you change?
*