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Your completion of this form will provide future students with information about the types and quality
of learning experiences that are available at your internship site. I do encourage you to share it with
your supervisor. It is a good learning experience to share constructive feedback, as well as receive
it.
* Required
Name *
Amanda Turner
Date *
February 28, 2016
Internship Site *
Dream Catcher Pediatric Therapy
Semester *
Spring 2016
Year *
Senior/4th year
Supervisor's Name *
Kaitlyn Cenicola, Administrative Assistant
Please indicate what activities you have been involved in while at your internship thus far. *
No
Yes
NA
Interpersonal Skills/
Professional Conduct
Assessment &
Evaluation Skills
Planning & Organization
Program
Development/Information
Application
Presentation
skills/Teaching Methods
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1/5
2/29/2016
Creatinginterventionsforthechildrenasthetherapistsexpressneed
officedutiescleaningtherapyroomslearningandworkingwiththe
therapistsandprofessionalstaff
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
Strongly
Not
2/5
2/29/2016
Disagree
Disagree
Neutral
Agree
Agree
Applicable
Provided clear
goals and
expectations
about my
responsibilities
Was aware and
supportive of the
learning goals
and activities
outlined in my
learning
agreement
Interns were
encouraged to
ask questions
and/or give
opinions
Tasks assigned
were consistent
with the goals of
the internship
The supervisor
was accessible to
you and
concerned about
your progress
Gave me
constructive
feedback on my
work performance
Answered all of
my questions
adequately
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3/5
2/29/2016
What aspects of your internship could be adjusted to make it more valuable to you? *
Iwishwehadmoretimetodiscussthechildrenordifferenttherapeutic
interventionswiththestaff.Oneofmyfavoritetimesduringtheweekis
whenIgettositandlistentothetherapistbrainstormvariouswaysto
continuetohelpachild.Ilearnsomuchfromtheirprofessional
conversationsandopinions.Itwouldbeniceifthistimecouldbemore
consistent,suchasinastaffmeetingsetting.DreamCatchercurrently
doesnotholdanystaffmeetings.Toadjustthisneed,Icancontinueto
activelyseekoutmoreopportunitiestoaskquestionsinthefuture.
How have you applied course and theoretical knowledge in this internship? *
Wow,howhaveInot?EverythingI'velearnedaboutfamilysystems
canbeseensoclearlyattheclinic.Youlearnsomuchaboutachild
basedontheirfamilysystemandunderstandingofBronfenbrenner's
model.Ialsohavereallybeenabletoapplymyknowledgefrommy
hospitalizedchildandfamilycourse,whenworkingwithchildrenwho
aresignificantlymedicallyfragile.Ourinternshipprojectisevena
manifestationofourknowledgeofdevelopmentalneedsandseeksto
scaffoldthesechildrentogreaterdevelopmentwithoursocialstories.
How would you rate this site thus far? *
1= Inadequate; 2=Needs Improvement; 3=Average; 4=Above Average; 5=Superior
1
Inadequate
5
Superior
4/5
2/29/2016
IfeellikeIwouldbenefitmorefromsharingthisinformationwithmy
supervisor.Itwouldpushmeoutofmycomfortzonetohavethis
professionalconversationwithherandwouldfulfilloneofmy
internshipgoals("tobecomemorecomfortableexpressingwhatIneed
andfeelinaprofessionalenvironment").
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5/5