Psychiatry Feedback form
Name of Your Tutor
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Please evaluate the session for the following areas:
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Content of Clinical Scenarios
1
2
3
4
5
Practicality of Clinical Scenarios
6
7
8
9
10
Assessment of Skills
11
12
13
14
15
Feedback from the Examiners
16
17
18
19
20
Please rate how strongly you agree or disagree with each of the statements:
Strongly Disagree
Disagree
Neutral
Agree
Totally Agree
The session was well organized.
21
22
23
24
25
I feel confident to take part in psychiatry stations for my upcoming test.
26
27
28
29
30
Although it is online, the session was still useful.
31
32
33
34
35
Please rate overall session
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
In which areas, we need improvements?
Do you have additional comments or suggestions?
Please verify that you are human
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