Dear Student/Faculty Member:

Please help us to improve our learning environment by giving us feedback.
Type of Placement
Preceptor/Field Guide (if applicable)
Last Name
First Name
Placement Information
Location
Site
Placement Start Date (MM/DD/YY)
Placement End Date (MM/DD/YY)
Is there anything that didn't go well for you?
If 'Yes', please describe the issue(s) you encountered.
Please provide any suggestions you have to improve the future placement and learning experiences.
Orientation
What did you find most helpful regarding your orientation?

Online Orientation (SPECO):
On-site Orientation:
Could you suggest any area of your orientation, both online and on-site, that could be changed or improved?