HC-Placement Feedback

Meet with a successful IMG who will guide you and help you with your professional growth.

1- Name*
First Last
Date*
MM slash DD slash YYYY
2- How would you describe your overall level of placement satisfaction?*
- Very satisfied
- Somewhat satisfied
- Neutral
- Somewhat dissatisfied
- Very dissatisfied
3- Rate your knowledge and skill level before the placement.*
- High
- Moderate
- Low
4- Do you think your knowledge and skills after the placement have improved?*
- Yes
- No
5- How would you rate the employer?*
- Strongly recommended
- Generally recommended
- No general opinion
- Not recommended

6- How would you rate the following.*

	Fully	Great Extent	Some Extent	Not at all
Placement was in conformity with the training need identified
The duration of the contract was adequate
Your expectations for the placement were met
Your skills were effectively used

7- Please provide any additional feed back
Signatures*
By typing my name below, I confirm that I have read and understood the information above.

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