End of Rotation/Exit Evaluation Form Facility: Qeedonont HeaHa LoL Please rate the student’s pepiprmance based on the scale below: S—Satisfactory NI-SNeeds Improvement NA-—Not applicable or could not be assessed adequately at this time Student Name: SS Student was adequately prepared for rotation site sS_Student had knowledge of the subject matter required for tasks SS Student treated others with dignity and respect Date