Professional
Attitudes and Actions
My
Clinical Instructor (CI) interacted well with others (coaches,
parents, administration).
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI demonstrates self-respect
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI anticipates respect from others
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is a professional role model for students
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI assisted you in understanding your professional responsibilities
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI showed concern for your clinical education
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI verbally and actively promotes the athletic training profession
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI demonstrates self-confidence
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI interacted well with other Athletic Training Students
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI interacted well with athletes
Always
Almost always
Fairly Often
Occationally
Seldom
Never
Characteristics
Of Effective Leaders
My
CI seeks out challenging opportunities that test his/her own
skills
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is in control of athletic training situations
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI has made his/her employment position (environment) better
each year
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI has a vision or goal for his/her own professional growth
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI puts others (athletes, SAT's, coaches) needs before his/her
own needs
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI praised me when I performed a task well
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI was flexible
Always
Almost always
Fairly Often
Occationally
Seldom
Never
Communication
Skills
My
CI provided helpful feedback in a timely manner
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI actively promotes clinical discussion with students
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI corrects students tactfully in an appropriate location/place
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI deals with conflict in a mature/professional manner
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI provides a clear orientation during first day(s) of rotation
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI provides on-going communication for student expectations
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI encourages students to ask questions
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is an active listener
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI demonstrated enthusiasm/motivated your interest
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI helped you to identify your own learning needs/objectives
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI was receptive to your input
Always
Almost always
Fairly Often
Occationally
Seldom
Never
Teaching
attitudes and abiliites
My
CI provides stimulating real scenarios for students to learn
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI encouraged you to think critically (solve problems)
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI combines academic knowledge with clinical practice
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI admits to students when he/she does not know
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI provides the correct answers to questions
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI follows up on his/her lack of knowledge and seeks out the
correct information.
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI keeps up with current information within Athletic Training
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is organized in his/her teaching methods
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI assisted with the application of theoretical knowledge
Always
Almost always
Fairly Often
Occationally
Seldom
Never
When
teaching an inexperienced student, my CI demonstrates a clinical
skill first, then allows the student to practice it
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI asks students for feedback regarding his/her teaching
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI demonstrated athletic training techniques when appropriate.
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI asked stimulating questions.
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI was organized with clinical instruction
Always
Almost always
Fairly Often
Occationally
Seldom
Never
Personal
Attributes
My
CI’s behaviors reflect his/her beliefs
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is an honest person
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI acts accordingly to his/her professional code of ethics and
standards
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is a trust-worthy person
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI dresses professionally during event coverage
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI encourages athletic training students to dress professionally
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI encourages student athletic trainers to project a positive
professional demeanor to the public
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is innovative in creating an optimal athletic training position
for him/herself
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI is open to new opportunities
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI continually asks him/herself if there is a better way to
accomplish his/her goals
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI uses different motivational techniques for different situations
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI demonstrates passion for his/her work to athletic training
students
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI gave guidance in new and/or difficult situations.
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI challenges athletic training students clinically
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI keeps him/herself motivated
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI keeps athletic training student motivated
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI showed patience when working with me.
Always
Almost always
Fairly Often
Occationally
Seldom
Never
My
CI helped me to recognize areas in which I need to improve
Always
Almost always
Fairly Often
Occationally
Seldom
Never
Overall,
how would you rank this Clinical Instructor?
Excelent
Above Average
Average
Below Average
Needs Improvement
Poor
