Name:
Name of School/College/University:
Date of Work Experience:
Placement Area
1 Did your placement achieve your aims?
Yes
No
If you answered No, please comment.
2 Has your placement given you a better understanding of the work undertaken at Blackpool Teaching Hospitals?
Yes
No
If you answered No, please comment.
3 Do you feel your placement was well organised?
Yes
No
If you answered no, please comment.
4 Are there any additional aspects which you feel should be included in future work experience placements?
Yes
No
If you answered yes, please comment.
5 Is there any other information you would have liked prior to the start of your placement?
Yes
No
If you answered yes, please comment.
6 Has your placement influenced your choice of career in any way? Yes
No
If you answered yes, please comment
7 Was the support given by your supervisor and other members of staff:
Excellent
Good
Fair poor Any other comments:
8 Have you applied to be considered for voluntary (unpaid) work at Blackpool Teaching Hospitals? (Over 16 years of age only) Yes
No
N/A
If you answered no, would you like to be considered for voluntary work at Blackpool Teaching Hospitals? (Over 16 years of age only)
Yes
No
Please return completed form to: Michelle Pearson, Work Experience, Blackpool Teaching Hospitals NHS Foundation Trust, L & D, 42 Whinney Heys Road, Blackpool, FY3 8NR or email back to: