Page 1 of 3 QF12e(i) 15 th July 2014 Work Experience Evaluation Form (Learner) Learner Name: About the Work Experience Supervisor / Mentor Their Name: Q1) How did the Work Experience Supervisor / Mentor help you during your Work Experience? Q2) Was there anything on your timetable that you could not achieve or were not given the opportunity to try? Please give details: Q3)How could the Work Experience be improved? About you Q1) What skills have you gained from this Work Experience? Q2) How has this helped you decide about your chosen career / further education?
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Qf12e(i) work experience evaluation form (learner)
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Page 1 of 3 QF12e(i)
15th July 2014
Work Experience Evaluation Form (Learner)
Learner Name: About the Work Experience Supervisor / Mentor Their Name: Q1) How did the Work Experience Supervisor / Mentor help you during your Work Experience? Q2) Was there anything on your timetable that you could not achieve or were not given the opportunity to try? Please give details: Q3)How could the Work Experience be improved? About you Q1) What skills have you gained from this Work Experience? Q2) How has this helped you decide about your chosen career / further education?
Page 2 of 3 QF12e(i)
15th July 2014
Work Experience Evaluation Form (Learner)
Q3) Would you recommend this employer to others looking to do Work Experience and why? Q4) What part of the Work Experience did you enjoy / not enjoy? Q5) How satisfied are you overall?
a) Outstanding b) Good
c) Requires Improvement
d) Unsatisfactory
Q6) Would you recommend In Touch Care to a friend?
a) Yes b) No
Q7) Any other comments?
Thank you for your time in completing the evaluation!