SASA-ARC/STSA GRADUATE SURVEY for Surgical Assisting Education

Date of survey Completion Graduate Name Program Name Date of Graduation Place of Employment Date of Employment Certification Status Are you certified? Yes No If YES, which certification do you hold? CFA CSA Otherplease specify:

If YES, what is the date of your certification?

Continuing Are you continuing your education? Yes No Education Status If YES, what institution are you attending?

What degree are you working toward?

Scored Responses: (Question 1-25 Key): 5 = Exceeds Expectations, 4 = Often Exceeds Expectations, 3 = Regularly Meets Expectations, 2 = Sometimes Doesn’t Meet Expectations, 1 = Seldom Meets Expectations, NA = Not Applicable Criteria Score 1. Sufficient laboratory equipment and supplies were available to practice and master clinical skills. 2. Program clinical case requirements were made known to me before enrolling in the program. 3. Program faculty were available for assistance. 4. Program faculty were sensitive to student needs, and treated students equally and respectfully. 5. Program faculty were supportive of the students, and provided constructive evaluations. 6. Program faculty were competent, knowledgeable, and well-prepared for instruction. 7. Program policies and procedures were clearly defined and enforced. 8. Classroom tests/exams and homework assignments were provided for review in a timely manner so I knew my standing and progress in the program. 9. Laboratory evaluations were provided for review in a timely manner so I knew my standing and progress in the program. 10. Clinical evaluations were provided for review in a timely manner so I knew my standing and progress in the program. 11. Questioning and independent thinking were encouraged. 12. Program completion and graduation requirements were made known to me prior to enrollment. Summative Assessment (double Agree // left-click on box to mark) Disagree 13. The didactic portion of the program adequately prepared me for my present Agree SASA-ARC/STSA Graduate Survey – SA 1 of 2 1109 position. Disagree 14. The laboratory portion of the program adequately prepared me for my present Agree position. Disagree 15. The clinical portion of the program adequately prepared me for my present Agree position. Disagree

Narrative Responses (all text boxes automatically expand when text is entered):

Identify the areas of the educational program and process that made your learning experience positive:

Identify areas of the educational program and process that were challenging:

What portions of the program would you keep?

What suggestions or changes would you make to improve the education of future students in this program?

Additional comments concerning the program:

Signature:

~ Thank you for your time and input! ~

SASA-ARC/STSA Graduate Survey – SA 2 of 2 1109