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Student Preceptor Evaluation

Sunday, October 25, 2020

Location / Agency

Preceptor Instructions

Use the following scale to rate the student's performance in each of the below sections.

5 - Excellent, Fully Independent 

4 - Good, Nearly Independent

3 - Average, Little Support/Assistance

2 - Below Average, Close Supervision 

1 - Poor, Close Supervision Required  

Affective
Knowledge
Skills