The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

KBHd9mjBLM78BT5uiF6YtfpYqzvL3Fp2LCj7W6RuHG6ecS5JifcFDaAt7yoeLqUjRqUwsaDNtwFfTUTmbKQEIzJEXHWNrsqF9b9tSINf5Q7bLwVCzGTJckbe

PP3 Supervisor Assessment of Orthoptic student performance

Returning?

A A A

Please complete the supervisor assessment below. This assessment survey is to be used to gain information about student performance and learning while on clinical placement. Please note that any assessment surveys completed by any clinician will go towards their final assessment mark, this is worth 25% of their total mark. These surveys can be completed by a supervisor who had the student as little as 1 session however we do encourage clinician feedback on students who have attended clinical placement with the practice for at least 2 sessions.Any assessment surveys completed for students who spend 2 days or more.

Thank you!

Supervisor Name:

* must provide value

Site name:

* must provide value

Student name:

* must provide value

Survey validation code (sent via email):

* must provide value

Student attended all allocated placements

Yes

PP3 Supervisor Assessment of Orthoptic student performance

You have selected an option that triggers this survey to end right now.