Student Final Review Form

This evaluation must be completed by the student at the end of the practicum and submitted prior to receiving a final grade.

Name*
Semester Practicum Completed*
Practicum Site Name*
1. How did you select your practicum site?*
2. Please list your responsibilities/roles at the practicum site. Identify each responsibility as participant or observer. Note the percentage of your practicum time per role. Also add any other comments you have on each one.*
3. On a scale of 1-5, how prepared did you feel for your responsibilities on site? From 1 - unprepared to 5 - Very prepared*
4. Please list any courses that would have been helpful in preparing you for your practicum.
5. This practicum experience increased my ability to work in a health setting.*
- Strongly Agree (1)
- Agree (2)
- Neutral (3)
- Disagree (4)
- Strongly Disagree (5)
6. Would you recommend this practicum site to other students?*
- Yes
- No
7. Overall, how would you rate this course. On a scale of 1-5, 1 - Poor to 5 - Excellent*
Additional Comments: