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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you for taking the time to complete the following clinical site evaluation. The information you provide will be used to help us improve the quality of instructors we have and monitor the quality of our program.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Read each one carefully and click the item that best describes your instructor’s performance.
 
 
 
 
Interest and enthusiasm in the subject matter
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Knowledge of the subject
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Knowledge of the curriculum objective.
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Professional behavior.
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Interest in the students achievement.
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Ability to interest students in the subject matter.
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Adheres to classroom scheduled times
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
Examinations reflect curriculum objectives.
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
 
What is the name of your theory instructor?
   
What is your program? (ASN/PN)
   
What is the Term/Month/Subject?
   
What are the coverage dates of your theory classes?
   
Please include your comments and suggestions.
   
 
NIGHTINGALE INTERNATIONAL INSTITUTE OF NURSING EDUCATION - MAKATI www.nightingaleinternational.com
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