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MWSU | Academics/Departments | Nursing Department | Nursing Lab | LTA Evaluation Form

LTA Evaluation Form

Dear Nursing Student,

We in the nursing lab desire to serve you well.  We want and appreciate your feedback.  Positive ratings and comments are as helpful as comments to help us improve.  Thank you for taking the time to complete this evaluation.  You may evaluate any LTA at any time as frequently as you like.  All evaluations will be forwarded to Roger Voelkel electronically and anonymously.

Evaluation Info
Select LTA to Evaluate:
Skill / Activity:
Date of Performance:


Rate LTAs
The LTA...

...had a positive, professional approach.
1
LOWEST		 2 3 4 5
HIGHEST

...required me to perform all skills during guided practices.
1
LOWEST		 2 3 4 5
HIGHEST

...knew the procedure well.
1
LOWEST		 2 3 4 5
HIGHEST

...followed the written criteria for procedures.
1
LOWEST		 2 3 4 5
HIGHEST

...guided me appropriately for guided practices.
1
LOWEST		 2 3 4 5
HIGHEST

...explained procedures thoroughly and accurately.
1
LOWEST		 2 3 4 5
HIGHEST

...offered constructive feedback.
1
LOWEST		 2 3 4 5
HIGHEST


Your Comments

Comments:


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