FORM
School of Biomedical Sciences
Bachelor of Pharmacy
F
STUDENT EVALUATION FORM FOR WPL
Student No:
Student’s name:
Subject Code:
WPL Site Name:
This form is meant to provide constructive feedback to Charles Sturt University about your experiences whilst at your
workplace learning site.
Please indicate how you feel about the following statements relating to the subject.
Do you Strongly Agree (SA), Agree (A), Feel Undecided (U), Disagree (D), or Strongly Disagree (SA) with each of the
following statements?
Please write the number below corresponding to your response in the answer box adjacent to each statement.
For example, if you Strongly Agree with a statement, write “1” as your response in the space provided.
1
Strongly Agree
I was given opportunities to observe a variety of
functions and activities.
I was given opportunities to participate in a
variety of functions and activities.
I felt that the course work I have completed to
date adequately prepared me for my placement
My supervisor was knowledgeable and
demonstrated professional expertise
My supervisor was a good teacher.
My supervisor was accessible and supportive
My supervisor shared information in an effective
manner
My objectives for professional development were
met
I would recommend this WPL site for future
students [please comment 5. below]
The WPL experience complemented my
pharmacy training [please comment 6. below]
2
Agree
3
Undecided
4
Disagree
5
Strongly Disagree
1. Please list three positive experiences of working at this particular WPL site? (eg. Learnt new dispensing program, learnt
a new business model, the pharmacy had good practices for promoting healthy well being, improved counseling skills)
2. Were there any experiences you found negative at the workplace learning site? YES / NO. If yes , please list these
experiences
3. Please list areas that you think you need to improve on (Functional areas of Pharmacy Competencies).
4. Did you encounter any problems? If yes, please comment, mentioning solutions.
5. Please comment on this site as a training environment for pharmacy students in this subject.
6. What suggestions do you have to improve the Workplace Learning experience in relation to this subject?
[Printed name]
[Student Signature]
[Date]