Site/Supervisor Evaluation Form (Completed by intern at the end of each rotation) Prospect Hh (( tnem: STAG LLL EE Favitiyoution WAC = Hhilsbobusly Please evaluate the performance of the site/supervisor in this rotation. Use of this form is to help the site supervisor to identify areas of strengths and weaknesses. The sites/supervisors will not receive this form, but a summary of all the comments gathered. Strengths of Site/Supervisor: ih a 2 a ] Le Veuy lind an OC VISOy ves pe ct A +5) oe Genecrs wh hdr fro 2 cnowedag : oe enjoyable to tits hoyQudn nay QOS SN ee We eueaaic + 2h Lovvassng « i yeu Could fell Iu hos Vast LK penene Me fe Weakness of Site/Supervisor: (UV Ur Vers Shu Was pacne a good at Conveying Consuchy Prseed thily Ve lav URC No patel prathu Couneling, CAUOAM : P no numpm edlucarm clases Overall Evaluation: ; : This rotethim Could & been Lonpletec 9 Moe week, Tin wold oF been bettur Spent at Clinical, wellness or longkvm Core facies What suggestions do you feel would be benefici preparing you for this site: Preinvtemm Wovlesheet (5 Vely lov WG Shouiel le Stutecl awl,