ObservationForm.doc
PLUS Observation Form
Fall 2012
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