Student Third Rider Evaluation

Student riders please complete this form for each shift. Muskogee County EMS is very interested in YOUR opinion of us. We need your honest feedback as to how we can be better….for our patients, customers, students and employees. If you would like to personally talk to a supervisor, please call (918) 683-0130.

Third Rider Evaluation
Name
Name
First Name
Last Name
Third Riding for
Shift Start:
Shift End:
Introduced self and partner. Checked out unit with student and reviewed student status:
Demonstrates a professional attitude towards the student:
Provided opportunities to review skills, assists with performance weaknesses:
Provides constructive feedback in a timely manner:
Is supportive of the student, understands learning objectives, and is willing to discuss issues in a professional manner at the appropriate time:
Ease and convenience of 3rd ride scheduling:
Would you consider Muskogee County EMS for future employment?

If you would like for us to contact you regarding this form please include your phone number and / or email.

Certifications

Muskogee County EMS
200 Callahan St.
Muskogee, OK

 

(918) 683-0130

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