EXERCISE SCIENCE STUDENT (ESS) EVALUATION OF APPROVED CLINICAL INSTRUCTOR
It is very important to the Exercise Science Program that we receive your input on each of your clinical practicum experiences and each of the Clinical Sites in which you have been placed.  Your information will be shared with the Clinical Instructors to help them improve their clinical site and their teaching methods while educating the students in the Exercise Science.
1
*Please answer the following:
The Following Questions Focus upon Professional Attitudes and Actions
2
*My Clinical Instructor (CI) is well respected by the Exercise Scientist.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
3
*My CI demonstrates self-respect.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
4
*My CI anticipates respect from others.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
5
*My CI is a positive professional role model for students.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
6
*My CI demonstrates self-confidence as a professional.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
7
*My CI cares about student learning in the clinical setting.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
8
*My CI verbally and actively promotes the Exercise Science profession.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
9
*My CI assists students in understanding their professional responsibility.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
The Following Questions Focus upon Characteristics Of Effective Leaders
10
*My CI is in control of Exercise Science situations.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
11
*My CI reviews goals with me and uses these goals to plan activities.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
The following questions focus upon Communication Skills
12
*My CI provides feedback to students in a timely manner.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
13
*My CI actively promotes clinical discussion with students.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
14
*My CI corrects students tactfully in an appropriate location/place.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
15
*My CI deals with conflict in a professional manner.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
16
*My CI provides a clear orientation during first day(s) of rotation.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
17
*My CI provides on-going communication for student expectations.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
18
*My CI encourages students to ask questions.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
19
*My CI is an active listener.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
20
*My CI encouraged interaction with Allied Health Professional at this site.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
21
*My CI performed and discussed a mid rotation and end of rotation evaluation with me            
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
The following questions focus upon Teaching Abilities And Attitudes
22
*My CI provides stimulating activities for students to learn.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
23
*My CI promotes critical thinking skills in his/her teaching to foster learning.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
24
*My CI admits to students when he/she does not have the necessary information at hand to adequately address to a question.            
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
25
*My CI actively investigates further knowledge to fully address questions.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
26
*My CI keeps up with current information within Exercise Science.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
27
*My CI takes time to learn to know Exercise Science students personally.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
28
*My CI understands my current level of academic competency level in assigning academic tasks            
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
29
*My CI initiates academic and clinical discussions.
No Basis to EvaluatePoorBelow AverageAverageGoodExcellent
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