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Preceptor evaluation form 2026

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  1. Click ‘Get Form’ to open the preceptor evaluation form in the editor.
  2. Begin by entering the preceptor's name and the date of evaluation in the designated fields at the top of the form.
  3. Next, fill in the name of the charge nurse responsible for overseeing your evaluation.
  4. For each performance element listed, use the rating scale of 1-4 to assess your preceptor's performance. Be sure to provide comments in the 'Opportunities for Improvement' section if you rate any element a 4.
  5. In the 'Strengths/Areas for Improvement' section, reflect on what was most helpful about your preceptor's guidance and suggest any changes you would have preferred.
  6. If applicable, indicate how many preceptors you had and whether having multiple preceptors enhanced your orientation experience.
  7. Finally, share any additional suggestions for improving the orientation process before saving or submitting your completed form.

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comments for preceptee

DH-MQA 1109, 12/15 Rule 64B16-26.300, F.A.C. FLORIDA

ITEM #3 PRECEPTOR EVALUATION FORM. Please print or type legibly. 1. Applicant Information. Last Name. First Name. Middle Initial. Mailing Address. City. State.Read more

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Preceptor Evaluation Form

What are the particular strengths and weaknesses of this preceptor? Did any specific difficulties arise during the preceptorship? Yes No. If yes, please explainRead more

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