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Write An Evaluation

Write An Evaluation

Dear Colleague,

As a CRNA Traveler, it’s rare that I receive any direct evaluation of my performance while on assignments. I consciously strive to improve my competency in all clinical situations. It would greatly assist me to improve my practice if you would provide feedback and kindly complete and submit this evaluation.

If you would rather download an editable PDF file and email it to me, you can download the document HERE

Thank you! ~April

Patient Care
Please rate the following:
1 = Unable to Evaluate, 2 = Below Average, 3 = Average, 4 = Good, or 5 = Excellent

Medical Knowledge

Practice-Based Learning & Improvement

Interpersonal & Communication Skills


System-Based Practice