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CHI Evaluation (Student)
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* Indicates required question
Date
*
Your answer
Student name
*
(First name, last name)
Your answer
Student ID number
*
Your answer
Name of organization
*
Your answer
May we share your survey response with your host organization?
*
Choose
Yes
No
Please reflect on your Consulting or Internship experience and answer or rate the following statements about THE POSITION IN GENERAL:
1. The position met my expectations
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
2. I could apply my graduate school training to the work
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
3. The position was engaging and my work duties interesting
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
4. The time commitment was appropriate
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
5. Approximately how much time did you spend on the project or internship?
*
Your answer
6. This was my first paid position working in my field
*
Yes
No
7. What additional comments do you have about your consulting or internship experience?
Your answer
Please answer and rate the following questions about YOUR EXPERIENCE WITH THE CHI PROGRAM:
8. The position was well publicized in my graduate school
*
Yes
No
9. The position description and expectations were clearly defined
*
Yes
No
10. The application process was easy to complete
*
Yes
No
11. The Orientation Session was useful in defining the expectations of the program
*
Yes
No
N/A - Did not attend a session
12. What additional comments do you have regarding your experience working with the CHI Program?
Your answer
13. What recommendations do you have to improve the CHI program?
Your answer
Please answer and rate the following questions about YOUR WORK WITH YOUR HOST ORGANIZATION AND SUPERVISOR:
14. I had the resources (time, supervision, equipment) necessary to complete the work that was asked of me.
*
1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
15. I gained valuable experiences that provided me with learning opportunities and professional insights
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
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3
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5
16. My supervisor was professional, available and provided useful feedback to me when we interacted.
*
1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
17. What recommendations do you have to improve the consulting or intern experience at the host organization?
Your answer
18. What additional comments do you have regarding your experience working with your host organization and supervisor?
Your answer
Please answer and rate the following questions about THE IMPACT THE PROGRAM HAD ON YOUR FUTURE CAREER PATH:
19. The program helped me to improve my consulting skills
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1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
20. The program gave me the opportunity to learn about and/or work with underrepresented communities facing public health disparities
*
1 :Strongly Disagree, 3: Neutral , 5: Strongly agree
Choose
1
2
3
4
5
21. What additional comments do you have regarding the impact of the CHI program?
Your answer
RECOMMENDATIONS FOR FUTURE STUDENTS:
22. What advice do you have for other students who participate in the program?
Your answer
23. What advice do you have for supervisors who participate in the program?
Your answer
24. Would you recommend this program to other students?
*
Yes
No
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