Employer Feedback Form

Please fill in the form below. Fields marked with * are required.

Business name *
Date of work experience *
Name of student *
School *

Question	Excellent	Good	Satisfactory	Poor
SCHOOL - please rate the school on the following:
1. Contact prior to placement
2. Teacher visit during placement
3. Provision of emergency contact details
4. Overall contact with school
STUDENT - please rate the student on the following:
1. Pre-placement interview
2. Presentation
3. Punctuality
4. Attitude to work
5. Enthusiasm
6. Ability to work independently
7. Social skills
HCS - please rate HCS on the following:
1. Response to your queries
2. Quality of information provided
3. Placement assessment visit
4. Ease of use of WebView
5. Overall service provided
Additional comments *