Graduate Information

Name

Year Graduated

Institution Name

JRCERT Program #

Employment

Years

and months

Maiden Name

E-Mail Address

Present Employer

Position

I. Knowledge Base (Cognitive Domain)

INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Select the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N if you do not know about a particular area.
5= Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree N = Not Applicable

The Program:

A. Helped me acquire the radiography care knowledge necessary to function in a healthcare setting.

B. Helped me acquire the general medical knowledge base necessary to function in a healthcare setting.

C. Prepared me to collect data from charts and patients.

D. Prepared me to interpret patient data.

E. Prepared me to evaluate diagnostic findings in order to perform appropriate diagnostic procedures.

F. Trained me to use sound judgment while functioning in a healthcare setting.

Comments:

II. Clinical Proficiency(Psychomotor Domain)

The Program:

G. Prepared me to perform a broad range of clinical skills.

H. Prepared me with the skills to perform patient assessment.

I. Prepared me to perform current radiography procedures and modalities.

J. Prepared me to perform and interpret diagnostic procedures.

Comments:

III. Behavioral Skills(Affective Domain)

The Program:

K. Prepared me to communicate effectively within a healthcare setting.

L. Prepared me to conduct myself in an ethical and professional manner.

M. Prepared me to manage my time efficiently while functioning in a healthcare setting.

Comments:

IV. General Information

A. I have acquired my radiography certification.

YES
NO

B. I am a member of a state/local radiologic technology professional association.

YES
NO

C. I am a member of a national radiologic technology professional association.

YES
NO

D. I actively participate in continuing education activities. If NO, please give reason in Comments area.

YES
NO

Comments:

V. Overall Rating of the program

Please rate and comment on the OVERALL quality of your preparation as an ENTRY-LEVEL radiographer.

Comments:

VI. Additional Comments

Based on your work experience, please identify two or three strengths of the program.

Based on your work experience, please make two or three suggestions to further strengthen the program.

What qualities/skills (if any) were expected of you, upon employment, that were not included in the program?

Please provide comments and suggestions that would help to better prepare future graduates.

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Thank you!

Graduate Survey – Radiologic Technology

Graduate Survey

Graduate Information

I. Knowledge Base (Cognitive Domain)

II. Clinical Proficiency(Psychomotor Domain)

III. Behavioral Skills(Affective Domain)

IV. General Information

V. Overall Rating of the program

VI. Additional Comments