Fix problems before the next rotation
The report is written as soon as the form closes. Low scores on welcome, hands-on practice or supervision tell you exactly what to change before the next group of students arrives.
STUDENT PLACEMENT FEEDBACK TEMPLATE
Placement feedback you can act on before the next cohort arrives.
National and university surveys tell you how placements went months after the students have gone. This template lets placement leads and practice educators ask their own students at the end of each placement, and fix things while it still matters.
Free plan available. No card required.What this form is for
Students judge a placement on a few things: whether they were welcomed, whether they got to do things rather than watch, and whether there was someone to teach and supervise them. This form asks about each directly, in the language students use, so the answers translate into specific changes.
It also gives students a quiet way to flag something that worried them. Students on placement are often reluctant to raise concerns face to face with the people supervising them. A single yes-or-no question, with an optional comment, makes it easier to say something. The form only asks for details if the student says yes.
Running it at the end of every rotation, rather than once a year, turns placement quality into something you can track and improve, and gives you a record of what you changed in response.
The questions, and why they’re there
10 questions · every one can be edited- 01
Which course are you on?
Multiple choice · Medicine · Nursing · Midwifery · Physiotherapy · Other allied health · Pharmacy · Other
Why it’s asked. Different professions need different things from a placement. The breakdown lets you act on each group’s feedback separately.
- 02
Overall, how would you rate this placement?
1 is poor, 5 is excellent.
Rating, 1–5
Why it’s asked. The headline measure you will track from one cohort to the next.
- 03
I felt welcomed when I started.
Multiple choice · Strongly agree · Agree · Neutral · Disagree · Strongly disagree
Why it’s asked. The first day sets the tone of the whole placement, and induction is one of the cheapest things to fix.
- 04
I had enough opportunities to practise hands-on.
Multiple choice · Strongly agree · Agree · Neutral · Disagree · Strongly disagree
Why it’s asked. Getting to do, not just watch, is what students value most. Low scores here usually point to rota or supervision gaps.
- 05
I could get supervision and support when I needed it.
Multiple choice · Strongly agree · Agree · Neutral · Disagree · Strongly disagree
Why it’s asked. Access to supervision is central to both learning and safety on placement.
- 06
What was the best part of this placement?
Long text
Why it’s asked. Tells you what to protect when things change, and gives you quotes to share with the team who made it happen.
- 07
What would most improve this placement for the next student?
Long text
Why it’s asked. Framing it for the next student gets constructive suggestions rather than complaints.
- 08
Did anything happen on this placement that concerned you?
For example about patient safety, or how you or others were treated.
Multiple choice · No · Yes
Why it’s asked. A low-pressure way to flag a concern. Students who answer “No” skip straight past the follow-up question.
- 09
Please tell us what concerned you.
If you need urgent help or want to raise this formally, please also use your university’s or the trust’s raising concerns process.
Long text
Why it’s asked. Only shown to students who answered “Yes”. It surfaces issues early, but always alongside formal routes rather than instead of them.
- 10
Would you recommend this placement to another student?
Multiple choice · Yes · Maybe · No
Why it’s asked. A simple, honest summary measure that is easy to report and compare between placements.
What you can do with the results
When the form closes — on a date you set, or when you close it — BetterForms writes the report for you: a chart for every question and every written answer, plus themes and an executive summary on plans that include analysis. Print it or save it as a PDF, share a read-only link, or export the raw responses to CSV or Google Sheets. Here is what people do with it.
Respond to concerns quickly
Concerns raised in the form reach you at the end of the placement, not months later in a national survey. Follow them up through your organisation’s usual process.
Evidence for your educator role
If you are a practice educator, placement lead or clinical supervisor, the reports show you seeking and acting on learner feedback. Bring them to appraisal, or use them as evidence for recognition as a trainer.
Share with the university
Send a read-only report link to the course team as part of placement quality monitoring. They see the results and comments, but not who answered.
Celebrate what works
Share the best comments with the team. Hearing that students valued them is one of the most effective ways to keep supervisors teaching.
Getting good responses
- Make one form per placement area and cohort, and set it to close a week after the placement ends.
- Ask students in the last few days of the placement, while they are still on site. Response rates fall once they have moved on.
- Tell students what changed because of last cohort’s feedback. It is the strongest encouragement to answer.
- Agree in advance who reads concern responses and how quickly, so nothing sits unread.
Questions
- Does this replace national or university surveys?
- No. It complements them. National and university surveys give comparable data across organisations; this gives you fast, local feedback you can act on before the next cohort.
- Is it really anonymous?
- The template does not ask for names or student numbers, and anyone you share the report with cannot see who answered. With very small cohorts, students may still feel identifiable, so say how you will use the feedback.
- How does the concerns question work?
- Students who answer “No” skip the follow-up question automatically. Those who answer “Yes” are asked what concerned them, and reminded about formal routes for raising concerns.
Start with this template
It opens in the editor as your own form. Change any question, then share it with a link or a QR code. Or start from a blank form and let AI draft the questions for you.
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