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Student Placement Survey

Student Placement Survey

The anonymous information you provide through this questionnaire will assist the University Department of Rural Health (UCRH) to improve placements and the support that makes these possible.

YYYY eg. 2011

DD/MM/YYYY eg. 01/01/2011

DD/MM/YYYY eg 01/01/2011

YYYY eg. 2011

About Your Placement

Select more than one if applicable

About Your Orientation

About Your orientation

About your accommodation and facilities

Living and working rurally

Intention to practice rurally

Your Comments

Thank you very much for taking the time to complete this questionnaire. Your input will help us understand the attitudes of students such as yourself to undertaking clinical placements in rural areas, what can be done to improve such placements, and living and working rurally in the future.

If you are willing to be contacted in future years to see if you have chosen to practice in a rural setting, please provide contact details on the sheet below. This will be detached from the survey and stored separately in a locked filing cabinet at the UDRH so that your survey will remain anonymous. Alternatively you may detach it yourself and hand it separately to UCRH staff or put in the box provided at reception. Survey Identification Number (your student number or a four letter code of your choosing) – the same as on page 1 of this survey: