Student Eval Form

Student Evaluation Form

Thank you for involving our students in your care. Your contribution to their education is essential both to their development as midwives and to the growth of midwifery in Ontario. We would appreciate it if you could give us and your student feedback about the care students provide and our approach to working with students.

Prenatal Care:

  • Section A
  • Section B

Student information

Client Name (optional):

Student Name:

Preceptor (midwife's) Name:

Date of Delivery:

Please provide feedback on the prenatal care provided by your student.

Were you clearly informed as to what the student's role in your care would be?

Do you feel that the student conducted prenatal visits with skill and confidence?

Did the student discuss necessary topics clearly and concisely?

Additional comments:

Please provide feedback on the labour and delivery care provided by your student.

Do you feel that the student provided comfort and support measures during labour and birth?

Please rate and comment on the student's involvement during your labour and birth.

Additional comments:

Please provide feedback on the postpartum care provided by your student.

Was the student helpful in explaining infant feeding, newborn appearance and behaviour, normal body changes after delivery and common discomforts experienced after birth?

Additional comments:

If you were to become pregnant again, would you feel comfortable having this student participate in your care?

(For advanced level students) If this student were to become a Registered Midwife, would you feel comfortable having her as your Primary Midwife?