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Home
Contact
About
Alumni
Mentorship
Schedule A: Student Consent Form
Schedule B: Student Feedback Form
Schedule C: Alumni Consent
Schedule D: Alumni Feedback
Benefactors
News
Events
Testimonials
Donate
Foundation Programs
Apply for Grant
IRS Disclosure Documents
Archive
UERM AFUSA Student Feedback Questionnaire
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Participant Info
Year
*
1
2
3
4
Session
*
Mentorship
Discussion
Clinical
Longitudinal
Most helpful
*
Mentorship
USMLE
Residency
Research
Clinical
Short Answers
Most valuable:
*
Future topics
*
Improvements
*
Opportunities
(Optional)
US Electives
Research
Observerships
None
Feedback
Mentorship
*
Felt supported
Comfortable asking questions
Mentor approachable
Career Guidance
*
Better understood residency
Helpful USMLE guidance
Improved CV/research clarity
Clinical (if applicable)
Improved reasoning
Helped board-style thinking
Program
*
Well-structured
Time appropriate
Would attend again
Overall valuable
Impact
*
More confident (USMLE)
More confident (Residency)
Felt more supported
Improvements Satisfaction Info
Final Evaluation
Rate (1–5: Poor → Excellent)
Overall Satisfaction
*
1
2
3
4
5
Mentor Rating
*
1
2
3
4
5
Submit
Confidential – For Program Improvement
