Gurnick Academy of Medical Arts

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BEHAVIORAL SKILLS

Prepared me to communicate effectively with

patients and staff within a healthcare setting.

Prepared me to confidently interact with patients

Prepared me to evaluate diagnostic findings inorder to perform appropriate procedures and

care.

Group Graduation Date:

AVERAGE

QUESTIONS:

Provided sufficient clinical training and patients’

interaction.

Prepared me to collect data from charts and

patients.

KNOWLEDGE BASE

Prepared me to interpret patient data.

Group No/ Name:

Helped me acquire the vocational nursing care

knowledge necessary to function in a healthcare

setting.

Date:

Program Name:

Campus:

Trained me to use professional judgment while

functioning in a healthcare setting.

CLINICAL PROFICIENCY

Helped me acquire the general medicalknowledge base necessary to function in a

healthcare setting.

Prepared me to perform up-to-date vocationalnursing care.

AVERAGE

Prepared me to perform a broad range of

vocational nursing examinations.

Prepared me with the skills to perform patient

assessment.

Feedback Form - Summary of Graduate Surveys

Evaluator/ Collector Name:

RATING      A      V      E      R      A      G      E

Prepared me to conduct myself in an ethical and

professional manner.

Prepared me to manage my time efficiently while

functioning in a healthcare setting.

AVERAGE

Revised: 10/26/2008 Page 1 of 2

 

Gurnick Academy of Medical Arts

Evaluator/ Collector Signature: Date:

I actively participate in continuing education

activities. (YES - Y/ NO - N)

Graduates Common Comments/ Concerns/ Suggestions:

OVERALL EVALUATION

GENERAL INFO

I am a member of a state/local LVN professional

association.(YES - Y/ NO - N)

I am a member of a national LVN professional

association. (YES - Y/ NO - N)

Revised: 10/26/2008 Page 2 of 2