Student-Dentistry CI Evaluation
NOTE: Evaluation statuses/results in AOLIS are delayed (1 day) to prioritize and interfere (competing server load) with exams & grades encoding. Thanks for understanding. 

INSTRUCTIONS: Read each statement very carefully and indicate your answer by placing a check on the box that represents your answer.  Please rate the following statement as a result of your exposure/attendance in this class.

5 – Always 4 – Often 3 - Sometimes 2 – Rarely 1 – Never NB – No Basis
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Email *
Bible Quote
Year *
Semester *
Clinical Instructor *
Student Clinic Level *
A. MOTIVATION FOR LEARNING: Through my clinical instructor (CI), I . . . *
5
4
3
2
1
NB
1. was motivated to participate in lab/clinical (face-to-face/virtual) activities
2. generated ideas and share it in lab/clinical (face-to-face/virtual) conferences
3. related learning into my personal experiences.
4. experienced different lab/clinical (face-to-face/virtual) activities to stimulate my interest in patience care.
5. was given opportunities to critique my learnings from my lab/clinical (face-to-face/virtual) experiences.
B. MANAGEMENT OF LEARNING: Through my clinical instructor (CI), I . . . *
5
4
3
2
1
NB
6. adopted multicultural diversity in the lab/clinical (face-to-face/virtual)
7. performed in lab/clinical (face-to-face/virtual) skills as demonstrated
8. adapted easily in the lab/clinical (face-to-face/virtual) as oriented
9. learned appropriate client/patient care through well-managed lab/clinical (face-to-face/virtual) activities
10. finished class tasks as assisted in managing my time.
C. INNOVATIVENESS AND CREATIVITY: Through my clinical instructor (CI), I . . . 5 4 3 2 1 NB *
5
4
3
2
1
NB
11. learned to utilize various resources/equipment/instruments in lab/clinical (face-to-face/virtual) area as demonstrated on how they are used
12. was encouraged to show creativeness and innovativeness in the delivery of client/patient care.
13. learned to use various resources to formulate appropriate clinical process as guided
14. innovated my clinical skills within the principles of safe practice as supervised.
15. was given opportunities for creative sharing of my learnings during lab/clinical (face-to-face/virtual) conferences.
D. MASTERY OF THE CLINICAL SKILLS AND PROBLEM-SOLVING SKILLS: In lab/clinical, I . . . *
5
4
3
2
1
NB
16. was well-directed to meet the learning outcomes because my CI clearly explained those expectations.
17. aligned my related learning experience to the mission, vision, and core values of the University through the influence of my CI.
18. mastered basic clinical skills because of the learning opportunities provided by my CI.
19. performed better in the lab./clinical area because my CI guided me patiently.
20. developed my problem-solving skills from the various exposure I had with my CI.
E. ASSESSMENT OF LEARNING: *
5
4
3
2
1
NB
21. The performance checklists prepared by my CI measured the quality of my skills/competencies.
22. My problem-solving skill was enhanced through the evaluation given by my CI.
23. I experienced diverse assessment strategies from my CI.
24. I received feedback from my CI about my lab/clinical (face-to-face/virtual) performance.
25. I developed different learning styles because of the various lab/clinical (face-to-face/virtual) strategies my CI applied
F. INTEGRATION OF FAITH AND LEARNING: *
5
4
3
2
1
NB
26. I observed the integration of faith in my learning through the devotional readings and prayers shared by my CI in the lab/clinical (face-to-face/virtual) classes.
27. I was inspired by my CI to consistently exemplify Christian values through his/her life example
28. I was motivated by my CI to use my clinical skills through participation in the Community Extension Service (CES) programs of the University.
29. I was encouraged by my CI to demonstrate a Christ-like character
30. I was inspired by the language beyond reproach used by my CI in giving instructions and corrections.
What did you like best about your CI?
Please write what you wish to be improved in your learning experience with your CI.
Student ID *
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