Sarvajanik College of Physiotherapy, Surat Case Presentation EVALUATION FORM Presenters Name: Presentation Title: Please rate each

of the following statements according to the following scale: 1 Strongly disagree 2 3 4 5 Strongly agree Date:

Presentation content Presents a complete history and physical findings Exhibits understanding of patients hospital course Presents epidemiology & etiology of condition Clearly discusses pathophysiology/pathomechanics of the condition Describes the clinical presentation Identifies diagnostic criteria Discusses physical and functional diagnosis Discusses differential diagnosis Clearly discusses Physiotherapy treatment and plan Presentation Style: Appears confident throughout the presentation Establishes adequate eye contact with the audience Voice quality is strong and consistent throughout the presentation Does not demonstrate excessive dependence upon notes Responds appropriately to questions References are appropriate and in correct format 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5

Comments and suggestions for improvement: __________________________________________________________ __________________________________________________________

Average score/grade: _______________________ Signature of Evaluator: ______________________