Work Experience Evaluation Form (Employer) Employer Name: Placement Officers Name: Learners Name:
Date:
Q1) How did you feel the Work Experience was facilitated? (Please tick) a) Outstanding b) Good c) Requires Improvement d) Unsatisfactory Q2) Do you feel the Placement Officer understood and fulfilled the learner’s training needs?
Q3) How could the Work Experience process provided by In Touch Care be improved?
Q4) What did you think of the level of support and contact your received during the Work Experience from the In Touch Care team? 1 = Poor 1
10 = Excellent (Please Circle) 2
3
4
5
6
7
8
9
10
Q5) What support did you give the learner during their time with you?
Page 1 of 2 QF12e(ii) 15th July 2014
Work Experience Evaluation Form (Employer) Q6) How satisfied were you with the suitability of the learner? (Please tick) a) Extremely b) Very c) Satisfied d) Not Satisfied Q7) How do you think the Work Experience has helped the learner in their education/career development?
Q8) How likely would you be to recommend In Touch Care to others looking to participate in Work Experience and why? a) Extremely Likely b) Very Likely c) Possibly d) Not Likely Q9) How satisfied are you overall? a) Outstanding b) Good c) Requires Improvement d) Unsatisfactory Q10) Would you be interested in speaking to a member of the ITC Team regarding gaining recognition for the Work Experience Quality Standard? YES / NO Thank you for your time in completing the survey! Page 2 of 2 QF12e(ii) 15th July 2014