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Questions marked with a * are required Exit Survey
 
 
* Attendance/Punctuality
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Professional Appearance
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Personality/Professional Attitude
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Patient Follow Up
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Communication with Clients
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Knowledge
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Clinical Judgement
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Leadership
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Relationship with Staff
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory
 
 
 
* Relationship with Staff
 
Excellent
 
Satisfactory
 
Needs Improvment
 
Unsatisfactory