STUDENT EVALUATION OF CLINICAL INSTRUCTOR and CLINICAL SITE

Under name please fill in the name of your clinical instructor and clinical site.
Please evaluate your clinical instructor using the following scale:
5 = completely agree
4 = strongly agree
3 = agree most of the time
2 = disagree
1 = strongly disagree
Name: 


A red asterisk (*) indicates required questions.

  1. Encourages critical thinking*
    1 2 3 4 5


  1. Encourages initiative*
    1 2 3 4 5


  1. Provides assistance when needed*
    1 2 3 4 5


  1. Knowledgeable in PT interventions*
    1 2 3 4 5


  1. Is prepared and organized in clinic*
    1 2 3 4 5


  1. Provides a non-threatening learning environment*
    1 2 3 4 5


  1. Communicates expectations*
    1 2 3 4 5


  1. Identifies strengths and weaknesses of students*
    1 2 3 4 5


  1. Documents areas for student improvement*
    1 2 3 4 5


  1. Expects professional accountability*
    1 2 3 4 5


  1. Acts as a liaison between clinical site, Carrington College and students*
    1 2 3 4 5


  1. Adheres to the APTA Code of Ethics*
    1 2 3 4 5


  1. Models professional behavior with patients*
    1 2 3 4 5


  1. Models professional behavior with clinical staff/ healthcare providers*
    1 2 3 4 5


  1. I felt I treated a diverse patient/client population*
    1 2 3 4 5


  1. The equipment at the facility was current and in good working condition*
    1 2 3 4 5


  1. I utilized and was able to practice Physical Therapy interventions under the guidance of the supervising Physical Therapist*
    1 2 3 4 5


  1. Personal safety precautions were emphasized as well as during patient interventions*
    1 2 3 4 5





Dr. Mills
PTA Program Director
Carrington College Las Vegas
Las Vegas, NV