Learner Evaluation Survey

Questions marked with a * are required

SJHH Learner Evaluation
Please complete this evaluation at the end of your educational placement. It is a tool to identify learner needs so we can continue to make improvements and enhance the learning experience at St. Joseph's Healthcare Hamilton. All information contained in Section 1 will remain completely confidential. Information from Section 2 will be shared with departments, programs and administration in aggregate form only.

Section 1

Name (optional)

*

Placement Area

* Academic Institution & Program of Study

* Placement Start Date

Month	Day	Year

* Placement End Date

Month	Day	Year

Graduation Date: (optional)

Month	Day	Year