Employee Site Evaluation
Please fill out this evaluation of your experience and give it to the internal Health Careers Specialist or Salem Hospital HR. Your feedback helps us improve this program!

Employee Name:_______________________________________________________________

Current Job Title and Department:__________________________________________________

Date and Time of Experience:_____________________________________________________

Assigned Health Care Professional Name:___________________________________________

Job Title and Department:________________________________________________________ 

1.  What did you do during your experience?
   
   
   
   
2.  What did you learn?
   
   
   
   
3.  What did you like or dislike about the experience?
   
   
   
   
4.  How easy to use and helpful was the CEP website?
   
   
   
   
5.  My assigned HCP gave 02/11/2008 Not At All -   1 2 3 4 - Absolutely
   
   
   
   
6.  I would rate my overall experience as:
   Poor - 1 2 3 4 - Great
   
   
   
   
7. I would recommend the CEP to others:
   No - Maybe - Yes
   
   
   
   
8. Suggestions for how our hospitals can improve the CEP experience: