AMI Module Evaluation
Please fill out this form after completing a teaching session with a module.
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Title of module
Date of teaching session
MM
/
DD
/
YYYY
1. This module has been a beneficial learning experience.
Strongly disagree
Strongly agree
Clear selection
2. The length of time dedicated to the module was appropriate.
Strongly disagree
Strongly agree
Clear selection
3. The group discussions were useful to my learning.
Strongly disagree
Strongly agree
Clear selection
4. I have learned something I can apply to my mentor-mentee relationship.
Strongly disagree
Strongly agree
Clear selection
5. I have learned something I can apply to my future practise.
Strongly disagree
Strongly agree
Clear selection
6. I feel more confident working with a younger population.
Strongly disagree
Strongly agree
Clear selection
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