Simulation Evaluation

1) Date of Session

2) Time of Day

3) Site

4) Unit

5) What is your role?

6) Simulation Experience

Strongly agreeAgreeNeutralDisagreeStrongly disagreeN/A
The outlined learning objectives were met
The session was clinically applicable to my training or practice
The session enhanced my teamwork or communication skills
This experience will impact the quality and safety of patient care
The facilitators created an engaging and safe environment for open and honest dialogue

7) Reflecting on this session, I am motivated to change my practice in the following ways:

8) Please comment on the strengths and weaknesses of the session, and share any suggestions for program improvement:

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