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Simulation Evaluation Form
Simulation Evaluation Form
Thank you for actively participating in the Disaster Simulation of 2023. Your performance is
commendable! In an effort to evaluate your learning experience, we are requesting you to answer
truthfully and honestly the tool attached in this letter. We also request for your consent to fill out the
data needed for future use in research studies involving the activity. You can signify your consent by
signing the form below. Again, thank you for being a responsible student and for your active
participation!
Student Evaluation
1 2 3 4 5
Very Dissatisfied Undecided Satisfied Very satisfied
dissatisfied
1 2 3 4 5
Very low Low Undecided High Very high
confidence confidence confidence confidence
Comments:
I consent to the use of the data in future research on the topic of interest by the faculty of the College of
Nursing of Silliman University. Thank you!