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Graduate Name
   
 
 
 
Program Name:
   
 
 
 
Employer Name
   
 
 
 
Has the knowledge/skills necessary to function in a healthcare setting
Strongly Disagree
Generally Disgree
Neutral
Generally Agree
Strongly Agree
 
 
 
Is able to collect data from charts and patients
Strongly Disagree
Generally Disgree
Neutral
Generally Agree
Strongly Agree
 
 
 
Is able to interpret patient data
Strongly Disagree
Generally Disgree
Neutral
Generally Agree
Strongly Agree
 
 
 
Uses sound judgment while functioning in a healthcare setting
Strongly Disagree
Generally Disgree
Neutral
Generally Agree
Strongly Agree
 
 
 
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