MLT Supervisor's Weekly Evaluation

Student's Name:
Date:
Clinical Site:
Clinical Evaluator:
Email:
Hygiene/Grooming:
Initiative (sees what needs to be done):
Efficiency (organization):
Enthusiasm:
Self-confidence (knows when to seek help):
Responsibility (accepts constructive criticism):
Professionalism (considerate of patient/fellow workers):
Punctuality / attendance:
Correlation of theory with practical lab work:
Performance of procedures (accuracy / manual dexterity):
Comments, accolades, or areas to work on: