Surgical Simulation Feedback Survey Form
Please provide your feedback on the surgical simulation experience. Your responses will help us improve future sessions.
Overall, how satisfied were you with the surgical simulation?
*
1
2
3
4
5
How would you rate the realism of the simulation environment?
*
1
2
3
4
5
How clear were the simulation objectives and instructions?
*
Not clear
1
2
3
4
Very clear
5
1 is Not clear, 5 is Very clear
How useful was the simulation for your learning?
*
Not useful
1
2
3
4
Extremely useful
5
1 is Not useful, 5 is Extremely useful
After the simulation, how confident do you feel performing the procedure?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
How would you rate the quality of feedback provided during the simulation?
*
1
2
3
4
5
Please rate the following aspects of the simulation:
*
Rows
Poor
Fair
Good
Very Good
Excellent
Simulation equipment
1
2
3
4
5
Scenario complexity
6
7
8
9
10
Instructor support
11
12
13
14
15
Which area of the simulation did you find most beneficial?
*
Hands-on practice
Teamwork/communication
Instructor feedback
Realism of scenario
Other
What improvements would you suggest for future simulations?
Any additional comments or feedback?
Submit Feedback
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