First Name
Last Name
Work Extension
Work Location
Location Visited
Years of nursing experience
Who was your mentor?
Please rate 1 (poor) to 5 (excellent)
Do you feel Bridges to Excellence broadened your level of experience?
Do you consider the time spent in this experience worthwhile?
Were you intellectually/professionally stimulated?
Were you motivated?
Did your "mentor" help you meet your goals?
How do you feel you were treated?
Were you able to meet your personal objectives?
Did you have an opportunity to review/use the equipment you were interested in using?
Would you recommend the program to others?
Did this experience expand your knowledge base?
Would you want to repeat this opportunity again?
Did you have an opportunity to observe/participate in a new procedure?
Do you have any additional comments you would like to share with others about this experience?