EXERCISE SCIENCE STUDENT (ESS) EVALUATION OF CLINICAL EXPERIENCE Survey

Utilize the following scale in rating your experience at the clinical experience assigned to you. Be candid in your answers so that we can use this tool to ensure quality educational experiences for students in the future.

1

*Please answer the following:

Please answer the following: Name
Site

2

*

Site responsibilities were known and documented

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
* Site responsibilities were known and documented No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

3

*The clinical experience provided opportunities for the supervisor to provide close supervision and communication with the Exercise Science student

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided opportunities for the supervisor to provide close supervision and communication with the Exercise Science student No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

4

*The clinical experience provided opportunities for Exercise Science student to participate in exercise programming

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided opportunities for Exercise Science student to participate in exercise programming No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

The following questions focus upon the students opportunity to perform exercise testing

5

*The clinical experience provided opportunities for Exercise Science student to perform exercise testing

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided opportunities for Exercise Science student to perform exercise testing No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

6

*The training provided specific focus upon Body Composition

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Body Composition No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

7

*The training provided specific focus upon Muscualr Strength and Endurance

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Muscualr Strength and Endurance No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

8

*The training provided specific focus upon Upper/Lower body Flexibility

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Upper/Lower body Flexibility No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

9

*The training provided specific focus upon Submaximal Aerobic Endurance

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Submaximal Aerobic Endurance No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

10

*The training provided specific focus upon Maximal Aerobic Endurance

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Maximal Aerobic Endurance No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

The following questions focus upon the students opportunity to perform pre-exercise risk assessment/stratification

11

*The clinical experience provided opportunities for Exercise Science student to perform pre-exercise risk assessment/stratification

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided opportunities for Exercise Science student to perform pre-exercise risk assessment/stratification No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

12

*The training provided specific focus upon Informed Consent

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Informed Consent No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

13

*The training provided specific focus upon Physician Consent

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Physician Consent No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

14

*The training provided specific focus upon Health Appraisal

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Health Appraisal No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

15

*The training provided specific focus upon Risk Identification

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Risk Identification No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

16

*The training provided specific focus upon Risk Stratification

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The training provided specific focus upon Risk Stratification No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

17

*The clinical experience provided opportunities for Exercise Science student to implememnt behavior modifaction models.

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided opportunities for Exercise Science student to implememnt behavior modifaction models. No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

18

If yes to #17, please specify:

19

*Feedback during this clinical experience was constructive and frequent.

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*Feedback during this clinical experience was constructive and frequent. No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

20

*The clinical experience provided the athletic training student with a variety of learning opportunities

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience provided the athletic training student with a variety of learning opportunities No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

21

*The clinical experience promoted Exercise Science student involvement in administrative duties.

No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent
*The clinical experience promoted Exercise Science student involvement in administrative duties. No Basis to Evaluate	Poor	Below Average	Average	Good	Excellent

22

Do you feel this clinical experience was a positive overall experience? Please explain.

23

What improvements could be made to make this clinical experience better in the future?

24

Please address any concerns or suggestions that have not been addressed.