Evaluation


* All Questions Are Required (N/A is acceptable) *

   

Name:

 
   

Email:

 
   

         Name of the Program:

 

   

 Name(s) of mentor, supervisor
 or preceptor(s):

 
 
Pre-Trip / Orientation:  
   
How satisfied were you with (1  = Very Satisfied, 5 = Very Dissatisfied):
   
1. The promptness of responses to your e-mail inquiries prior to departure?  
   
2. The information presented during the pre-trip orientation meeting / sent by mail / on-line / handbook?  
   
3. The information presented during the on-site orientation(s)?  
   
4. If your program/exchange had an orientation, what did it cover and how did it help you adapt?

 

   
5. Are there course, experiences, or resources (i.e., books) that you wish you had before participating in this program?

 

   
   
On-Site:  
   
How satisfied were you with (1  = Very Satisfied, 5 = Very Dissatisfied):
   
6. The promptness of responses to your e-mail inquiries while on-site?
   
7. The accommodations?
   
8. The provided food?
   
9. The historical tour of the host city / cultural outings / field trips sponsored by the program?
   
10. The guidance provided by your research advisor or clinical preceptor during your experience?
   
11. Please describe any health and safety concerns (e.g., quality of medical facilities, unsafe districts, theft, etc.) associated with your study abroad experience.

 

   
12. How did you integrate into the culture and meet members of the community?

 

   
13. Describe cultural differences and challenges you encountered and how you addressed them (e.g., gender issues, social etiquette, stereotypes, etc.).

 

   
14. Please note any unexpected expenses you incurred.

 

   
15. Other comments related to accommodations, food, activities, or guidance provided on-site.

 

   
   
Overall Evaluation:  
   
Indicate your level of agreement with each statement. (1  = Strongly Agree, 5 = Strongly Disagree):
   
16. This International Program was well organized as a whole
   
17. The foreign institution site was well suited to host this program.
   
18. This program helped me to improve my clinical and/or research skills.  
   
19. I would recommend this program to others.
   
20. I would recommend my supervisor/preceptor for future projects or rotations.  
   
21. How did you first hear about this program?

 

   
22. What were the most important factors in your decision to participate in this program?

 

   
23. Are there any courses or instructors you would recommend for future students?

 

   
24. What would you recommend that other students bring with them next year?

 

   
25. What should students do to prepare ahead of time for their placement?

 

   
26. Any cultural awareness tips for future students?

 

   
27. How realistic were your expectations, both academic and personal?

 

   
28. How has your participation in this program affected your future career plans or interests?

 

   
29. If the Office of International Programs administered your program/exchange, please comment on the effectiveness of the office's services. What service could be improved?

 

   
30. Describe the program's strengths.

 

   
31. Describe the program's weaknesses.

 

              

 
EDUCATION RESEARCH COMMUNITY DIVERSITY HOME
 
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Heritage College of Osteopathic Medicine
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Last updated: 08/08/2012