Student Evaluation Form

KSUCVM • Mentorships • Student Evaluation Form

KSU College of Veterinary Medicine
Student Evaluation of Mentorship Experience

First Name
Last Name
Dates of Mentorship:
Name of Practice:
Doctor(s) Name:
Clinic Address
Length of Stay
Type of Practice
Clinic Phone (###-###-####)
Number of Practioners
Instructions: Your reviews are important and will be shared with other students. Thoughtful and constructive comments are most useful. Thank you!

Was housing provided?
Yes No
If yes, what kind?

Thinking back on this mentorship, how would you rate the following:
Opportunities to practice clinical skills		Very Good GoodAvgPoorNone
Amount of client interaction		Very Good GoodAvgPoorNone
Involvement in discuss./decision making		Very Good GoodAvgPoorNone
Amount of supervision		Very Good GoodAvgPoorNone
Quality of time spent with doctor(s)		Very Good GoodAvgPoorNone

Overall how would you rate this experience?	Very Good GoodAvgPoorNone

Comments

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