Gurnick Academy of Medical Arts

Feedback Form - Summary of Graduate Surveys

Group No/ Name: Date: Campus:

Group Graduation Date:

Program Name:

Evaluator/ Collector Name: AVERAGE 0 0 0 0 0 0 0 0 0

RATING QUESTIONS: KNOWLEDGE BASE

Helped me acquire the vocational nursing care knowledge necessary to function in a healthcare setting. Helped me acquire the general medical knowledge base necessary to function in a healthcare setting. Prepared me to collect data from charts and patients. Prepared me to interpret patient data. Prepared me to evaluate diagnostic findings in order to perform appropriate procedures and care. Trained me to use professional judgment while functioning in a healthcare setting. CLINICAL PROFICIENCY Prepared me to perform a broad range of vocational nursing examinations. Prepared me with the skills to perform patient assessment. Prepared me to perform up-to-date vocational nursing care. Prepared me to confidently interact with patients Provided sufficient clinical training and patients interaction. BEHAVIORAL SKILLS Prepared me to communicate effectively with patients and staff within a healthcare setting. Prepared me to conduct myself in an ethical and professional manner. Prepared me to manage my time efficiently while functioning in a healthcare setting. AVERAGE 1 2 3 4 5 6 7 8 9 # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0

0 0

AVERAGE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

AVERAGE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Revised: 10/26/2008

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Gurnick Academy of Medical Arts

GENERAL INFO I am a member of a state/local LVN professional association.(YES - Y/ NO - N) I am a member of a national LVN professional association. (YES - Y/ NO - N) I actively participate in continuing education activities. (YES - Y/ NO - N) OVERALL EVALUATION

Graduates Common Comments/ Concerns/ Suggestions:

Evaluator/ Collector Signature:

Date:

Revised: 10/26/2008

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