HEALTH PROFESSIONS ADVISORY COMMITTEE
___________Confidential
Evaluation of: ____________________________
__________ Non-confidential
Name of Course: __________________________
Date: __________________
Course Number: __________________________
General
1
2
3
4
5
6
Impression
Superior
Average
Unsatisfactory
Not Rated
Ability to
communicate
Academic
Achievement
Concern for others
Cooperation
Dependability
Emotional Stability
Industriousness
Integrity
Manual Dexterity
Maturity
Motivation
Originality
Personal
Appearance
Personality