Psychiatric Rehabilitation & Counseling Professions
Occupational Therapy Assistant Program
Rutgers, The State University of New Jersey
1776 Raritan Road
Scotch Plains, NJ 07076
shrp.rutgers.edu/dept/psyr
T: 908-889-2430
F: 908-889-2432
Student Evaluation of Level I Fieldwork
Student:_______________________________________ Date:_____________
Facility:________________________________________
Fieldwork Educator: ____________________________
Please comment on the following concerning specific aspects of your
Level I fieldwork experience:
I. Characteristics of the setting:
How well did the setting meet the learning objectives for this fieldwork
experience and course?
What aspects of the fieldwork experience do you feel were especially good?
What changes could be made to improve the experience?
Was the setting organized for effective student learning?
II. Please comment on the supervision you received for this fieldwork
experience:
Did you find correlation between concepts from the classroom to practice
in this setting? Explain:
Please comment on the supervision you received for this fieldwork
experience:
Was supervision available?
Was supervision structured to guide the development of clinical skills?
Did you receive objective feedback?
Was active student participation encouraged?
III. Other comments: