NEW EMPLOYEE ORIENTATION EVALUATION FORM

(To be completed immediately following orientation program)

Please rate the helpfulness of the following elements of the orientation
program by circling the number below that most closely matches your
opinion.

Rating scheme: Not helpful = 1; Helpful = 3; Extremely Helpful = 6

Amount of detail provided

Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Length of program
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Skills of facilitator(s)
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Company-specific information
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Department-specific information
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Job-specific information
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

The HITEQ Center, for Health Information Technology, Evaluation, and Quality Improvement is supported by the
Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
(HHS) under cooperative agreement number U30CS29366, National Training and Technical Assistance Cooperative
Agreement
Information on organization’s culture
Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Information regarding company policies

Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Information regarding employee benefits

Extremely
Not helpful Helpful Helpful
1 2 3 4 5 6

Please complete the following questions to help us improve our orientation

program:

1. Was there any part of the program that was particularly helpful to you as a
new employee?

2. Was there any information not included that you hoped to receive as a new
employee?

3. Do you have any additional comments you would like to provide?

THANKS FOR YOUR FEEDBACK!

The HITEQ Center, for Health Information Technology, Evaluation, and Quality Improvement is supported by the
Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
(HHS) under cooperative agreement number U30CS29366, National Training and Technical Assistance Cooperative
Agreement
The HITEQ Center, for Health Information Technology, Evaluation, and Quality Improvement is supported by the
Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
(HHS) under cooperative agreement number U30CS29366, National Training and Technical Assistance Cooperative
Agreement