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Nurse Aide Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Nurse Aide Program

List your full name and include your class start & end date.

1

Name:

2

How did you hear about us? (Facebook, Google, Craigslist, etc) If by a friend or coworker, please list name

3

How do you feel about the education you received in the Nurse Aide Program?

4

Did the school provide adequate equipment for the program? (gloves, alcohol swabs, wheelchair, etc.)

5

Did you gain insightful experience at clinical? Please elaborate as to why or why not. Please list the name of the externship location.

6

If there is anything that you would change about the program what would it be?

7

Do you feel that the 18-20 day period was enough time for you to learn the course materials?

Instructor Evaluation

The following questions pertain to your instructor's performance. Your feedback is greatly appreciated. Additional space is provided below for additional comments. Please be honest and specific in your comments.

8

During lecture, did your instructor deliver course material in an effective manner? If your answer is No, please explain.

Select one or more answers
9

Was your instructor available if you needed help understanding certain material? If your answer was No, please explain.

Select one or more answers
10

You may provide additional comments in the section below about your instructor(s) below:

The following questions are regarding your clinical instructor

11

If you needed assistance or had a question, was your instructor easily located during your clinicals? If the answer is no, please explain:

Select one or more answers
12

Did your instructor supervise you while you performed skills that you learned in class instruction? Ex: hand washing, transfer from bed to wheelchair.

Select one or more answers
13

If the answer to the above question is yes, did your instructor provide feedback on your performance?

Student Services Survey

The following survey will help The Institute of Allied Healthcare evaluate the effectiveness of student services, activities, and counseling offered during and upon course completion. Results from the survey are shared with faculty and staff to make improvements. Your feedback is valuable and greatly appreciated.

14

During your time as a student or graduate, did you experience any of the student services of activities listed below? (check all that apply):

Select one or more answers
15

Did you receive individual counseling with any of the following? (check all that apply):

Select one or more answers
16

Who assisted you in any of the student services, activities, or counseling listed above? (check all that apply)

Select one or more answers
17

While attending The Institute of Allied Healthcare, did you visit the employment board for employment information?

Select one answer
18

Did you benefit from any of the student services, activities, or counseling listed above?

Select one answer

Media Services Survey

The following survey is used to evaluate the effectiveness of media services offered at The Institute of Allied Healthcare. Results from the survey will be utilized to modify and improve media services.

19

While attending The Institute of Allied Healthcare, did you use any of the following: (check all that apply)

Select one or more answers
20

While in the computer lab did you use any of the following: (check all that apply)

Select one or more answers
21

Did you utilize any of the following materials in the library? (check all that apply)

Select one or more answers
22

Did you have access to the internet while on campus?

Select one answer
23

Did you access internet services through the computers in the computer lab?

Select one answer
24

Did you bring your own electronic devices (laptop, tablet, smart phone, etc) and use internet services provided by The Institute of Allied Healthcare?

Select one answer
25

Did you use the printer for any of the following: (check all that apply)

Select one or more answers

Health and Plan Survey

The following survey is to be completed by students and staff at the Institute. Your feedback will help make changes and updates as needed. Results will be shared during staff and annual meetings.

26

During orientation, did the presenter inform you of the procedure for reporting incidents or accidents that occur on campus?

Select one answer
27

Do you know where reporting forms are located on campus?

Select one answer
28

During orientation on your first day of class, did your presenter or instructor show you where the emergency exits are located?

Select one answer
29

Do you know where the first aid kits are located on campus?

Select one answer
30

During registration, were you asked to provide an emergency contact?

Select one answer

IOAH Facilities Plan Survey

The following survey on operation and maintenance of the Institute is to be completed by students and staff. Your feedback will be used to implement changes as needed. Results from the survey will be reviewed during staff and annual meetings.

31

When you arrive on campus, are you able to find a parking space easily?

Select one answer
32

Is the parking lot clean and free of clutter or debris?

Select one answer
33

Is the inside of your classroom clean at the start of day?

Select one answer
34

When you visit your classroom lab, is it clean?

Select one answer
35

When you visit the computer lab, is it clean?

Select one answer
36

When you visit the restrooms on campus, are they clean?

Select one answer
37

Do you have access to WI-FI while on campus?

Select one answer
38

While in class or lab, are they supplied and readily available for use?

Select one answer
39

Does your classroom and/or lab have equipment that is functional and available for use?

Select one answer
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