University of Brighton
OCCUPATIONAL THERAPY
Student Placement Evaluation Form
In order to help monitor standards and the quality of placements students must complete an evaluation
form following each placement. We would like you to be as honest and constructive in your feedback
as possible. This is important in enabling your educators to identify their strengths and needs in terms
of providing good quality placement experiences for students.
The form will be kept here at the University and a copy will be given to your educator to support their
CPD. You therefore need to ensure that all feedback is written in a constructive and professional
manner. If you experience difficulties with the placement, it is important that you still provide honest
feedback but you may want to discuss how you present this feedback with your personal tutor. If you
raise specific issues about your placement these may also be discussed with the placement
coordinator responsible for that placement to ensure that your feedback is addressed. Completing this
evaluation form is an important learning opportunity for you as the skill of providing constructive
feedback is one that you will need to develop for your future role as a therapist.
The completed evaluation must be handed in to the Practice Placement Tutor after completion of
placement with your assessment form. You may also want to keep a copy of the form for your CPD
folder.
Student Name:
Cohort:
Placement Title:
Date of Placement:
From:
To:
Number of weeks:
Practice Educator Name(s):
Placement Address:
Tel No:
Placement Setting (e.g. Social Services, Community, Hospital etc.)
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PREPARATION FOR PLACEMENT
1
I received information from University about how to
contact my placement prior to starting
2
Before going on placement, I understood how the
module learning outcomes linked to the practice
experience.
3
Prior to placement I received preparatory information
from my placement setting.
4
My accommodation was adequate and comfortable
WELCOME AND ORIENTATION
5
I was made to feel welcome as part of the team
6
My induction/orientation programme was adequate to
prepare me for my placement.
7
On my first day, I was made aware of my line of
support within the placement setting.
8
I negotiated my learning contract with my Practice
Educator at the beginning of the placement.
9
A student resource folder was available outlining
placement setting guidelines, policies and procedures.
10
The student resource folder was current
11
The student resource folder outlined the learning
opportunities available in the placement setting
12
Yes
No
Please briefly state reason
Yes
No
Please briefly state reason
Yes
No
Please briefly state reason
The student resource folder was a valuable learning
aid
Additional information would have been useful on
(please list)
Learning Environment
13
I was made aware of potential learning opportunities
in the placement.
14
I was encouraged to participate in discussions and
ask questions appropriate to my level of experience.
15
My preferred learning styles were taken into account
when planning my placement.
16
My caseload reflected my level of experience and
skills.
17
I was assisted to develop my clinical reasoning skills.
18
I was provided with opportunities to achieve all my
learning objectives.
19
My Practice Educator explained the evidence base of
interventions.
Page 2 of 4
20
I was able to observe and discuss an interprofessional
approach to care.
21
Any special needs that I have related to my learning
on placement were discussed and considered
22
I accessed the local NHS Trust/ placement library
whilst on my placement
If yes please list resources accessed (books, journals,
e-literature, online information etc.)
ASSESSMENT OF PRACTICE
22
My learning objectives were specific, measurable,
achievable, realistic and timed.
23
My learning contract was reviewed throughout my
placement and developed /renegotiated as required.
24
My Practice Educator understood how to use the
assessment documentation.
25
I understood how to use my assessment
documentation.
26
I had regular opportunities to reflect on my strengths,
achievements and areas for development with my
Practice Educator.
27
I received a halfway report on my progress midway
through my placement.
SUPPORT AND SUPERVISION
28
My Practice Educator and I discussed what I had
learned prior to this placement.
29
My Practice Educator and I discussed their
expectations of me while on my placement.
30
My Practice Educator and I discussed how I would be
supported and supervised.
31
My practice educator was adequately prepared and
experienced to supervise me
32
My Practice Educator gave me regular constructive
informal feedback.
33
I received formal supervision for a minimum of 1 hour
a week.
34
My Practice Educator gave me constructive formal
feedback.
35
My Practice Educator supported me to apply theory to
practice.
36
I was encouraged to creatively explore my
professional development as a student occupational
therapist.
37
I received support from the University whilst on
placement.
Page 3 of 4
Yes
No
Please briefly state reason
Yes
No
Please briefly state reason
38
If yes please state how (tutor visit, tutorial, action
learning set, telephone contact etc.)
39
I found the support from the University valuable.
40
I knew how to ask for additional support from the
University if required.
MANAGEMENT AND ORGANISATION
41
I was supernumerary at all times.
42
Risk management procedures were in place to
support staff to practice safely.
43
Sufficient resources were available on the placement
to support learning such as books, journals, internet
access etc.
44
Overall this was an effective learning experience.
45
Overall I enjoyed the placement
Yes
No
Please briefly state reason
What did you enjoy most about the placement?
What did you enjoy least about the placement?
Please add any additional comments such as strengths of the placement or difficulties you
experienced and constructive suggestions for modifications/improvements for future placements
in this setting.
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