Intern Evaluation of Clinical Faculty








Please rate your clinical faculty member on the following statements. Select either Satisfactory or Unsatisfactory on the rating scale below.

Responsibility 1: Building Positive Relationships






Responsibility 2: Planning and Teaching






Responsibility 3: Conferencing and Assessment Skills






Responsibility 4: Diversity





Please take a moment to review the email addresses entered; if email addresses are entered incorrectly, the form will not function properly.