Responsibility and Respect

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ObservationForm.docObservationForm.doc
PLUS Observation Form
Spring 2013
Observer: ________________________
Preceptors: _______________________________________________________________________________________
Date & Time: ____________________ Location: __________________

Preceptor

SCORE (1-4)

 

 

 

 

 

 

 

 

Interpersonal Skills

Embracing Program Philosophy

Facilitation Skills

Time Organization

Uses Effective Questioning Techniques

Problem Solving Skills

Individual TOTALS

OVERALL GROUP SCORE (1-4)

Name:

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

Quick Comments

 

 

 

 

 

 

 

 


Comments:
Please make specific notes about each preceptor/ how well they worked together/ and the group time as a whole

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