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Rate your Elective
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Elective site
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Duration of elective
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1 week
2 weeks
4 weeks
Other:
Overall rating of elective site
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Poor
1
2
3
4
5
Excellent
Achievement of learning objectives
*
Poor
1
2
3
4
5
Excellent
Would you recommend this elective site to others?
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YES
NO
NOT SURE
Why would you recommend / NOT recommend the elective site to other students?
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Any other comments?
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THANK YOU. What is your name (optional) ?
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