{"id":4053,"date":"2023-07-26T15:27:46","date_gmt":"2023-07-26T19:27:46","guid":{"rendered":"https:\/\/carleton.ca\/socialwork\/?page_id=4053"},"modified":"2026-03-05T10:36:57","modified_gmt":"2026-03-05T15:36:57","slug":"evaluation-of-practicum-form-student","status":"publish","type":"page","link":"https:\/\/carleton.ca\/socialwork\/evaluation-of-practicum-form-student\/","title":{"rendered":"Evaluation of Practicum Form &#8211; Student"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Evaluation of Practicum Form &#8211; Student\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n\n<h3 id=\"evaluation-of-practicum\" class=\"wp-block-heading\">Evaluation of Practicum<\/h3>\n\n\n\n<p>The Evaluation of Practicum Form is optional, but we encourage each student to fill it out. This form assists the School in making sure all aspects of the practicum are running smoothly and discuss changes if necessary.<\/p>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_28'  action='\/socialwork\/wp-json\/wp\/v2\/pages\/4053' data-formid='28' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_28' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_28_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Information<\/h3><\/div><fieldset id=\"field_28_5\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_5'>\n                            \n                            <span id='input_28_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_28_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_28_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_28_42\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_42'>Student Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_42' id='input_28_42' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_28_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_2'>Agency<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_28_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_28_43\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Field Supervisor Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_43'>\n                            \n                            <span id='input_28_43_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.3' id='input_28_43_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_43_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_43_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.6' id='input_28_43_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_43_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_28_4\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Faculty Liaison<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_28_4'>\n                            \n                            <span id='input_28_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_28_4_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_28_4_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_28_8\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_8'>Term<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_28_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_9\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_9'>Course<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_28_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_10\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">The Placement Setting<\/h3><\/div><fieldset id=\"field_28_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I received a thorough orientation to the placement setting<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_12'>\n\t\t\t<div class='gchoice gchoice_28_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Strongly Agree'  id='choice_28_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_12_0' id='label_28_12_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Agree'  id='choice_28_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_12_1' id='label_28_12_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Disagree'  id='choice_28_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_12_2' id='label_28_12_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Strongly Disagree'  id='choice_28_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_12_3' id='label_28_12_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I felt welcomed and supported as a student on placement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_13'>\n\t\t\t<div class='gchoice gchoice_28_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Strongly Agree'  id='choice_28_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_13_0' id='label_28_13_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Agree'  id='choice_28_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_13_1' id='label_28_13_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Disagree'  id='choice_28_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_13_2' id='label_28_13_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Strongly Disagree'  id='choice_28_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_13_3' id='label_28_13_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I had an appropriate working space and materials\/tools to do my work<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_14'>\n\t\t\t<div class='gchoice gchoice_28_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Strongly Agree'  id='choice_28_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_14_0' id='label_28_14_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Agree'  id='choice_28_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_14_1' id='label_28_14_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Disagree'  id='choice_28_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_14_2' id='label_28_14_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Strongly Disagree'  id='choice_28_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_14_3' id='label_28_14_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I was supported to establish a learning contract for placement that allowed for participation in a range of learning activities to achieve my learning goals, as appropriate to my field setting and role<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_15'>\n\t\t\t<div class='gchoice gchoice_28_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Strongly Agree'  id='choice_28_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_15_0' id='label_28_15_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Agree'  id='choice_28_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_15_1' id='label_28_15_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Disagree'  id='choice_28_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_15_2' id='label_28_15_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Strongly Disagree'  id='choice_28_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_15_3' id='label_28_15_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I was able to manage my placement workload or adapt my placement workload as needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_16'>\n\t\t\t<div class='gchoice gchoice_28_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Strongly Agree'  id='choice_28_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_16_0' id='label_28_16_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Agree'  id='choice_28_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_16_1' id='label_28_16_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Disagree'  id='choice_28_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_16_2' id='label_28_16_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Strongly Disagree'  id='choice_28_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_16_3' id='label_28_16_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The workplace was safe and free from discrimination or harassment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_17'>\n\t\t\t<div class='gchoice gchoice_28_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Strongly Agree'  id='choice_28_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_17_0' id='label_28_17_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Agree'  id='choice_28_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_17_1' id='label_28_17_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Disagree'  id='choice_28_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_17_2' id='label_28_17_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Strongly Disagree'  id='choice_28_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_17_3' id='label_28_17_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would recommend this placement to MSW students<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_18'>\n\t\t\t<div class='gchoice gchoice_28_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Strongly Agree'  id='choice_28_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_18_0' id='label_28_18_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Agree'  id='choice_28_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_18_1' id='label_28_18_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Disagree'  id='choice_28_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_18_2' id='label_28_18_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Strongly Disagree'  id='choice_28_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_18_3' id='label_28_18_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would recommend this placement to BSW students<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_19'>\n\t\t\t<div class='gchoice gchoice_28_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Strongly Agree'  id='choice_28_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_19_0' id='label_28_19_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Agree'  id='choice_28_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_19_1' id='label_28_19_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Disagree'  id='choice_28_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_19_2' id='label_28_19_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Strongly Disagree'  id='choice_28_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_19_3' id='label_28_19_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_28_20\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_20'>Comments on the placement setting:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_28_20' class='textarea medium'  aria-describedby=\"gfield_description_28_20\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_28_20'>indicate N\/A if no comment to add.<\/div><\/div><div id=\"field_28_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">The Supervision<\/h3><\/div><fieldset id=\"field_28_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Regular supervision sessions occurred throughout the placement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_23'>\n\t\t\t<div class='gchoice gchoice_28_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Strongly Agree'  id='choice_28_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_23_0' id='label_28_23_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Agree'  id='choice_28_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_23_1' id='label_28_23_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Disagree'  id='choice_28_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_23_2' id='label_28_23_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Strongly Disagree'  id='choice_28_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_23_3' id='label_28_23_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Supervisor was accessible and responsive when I needed additional contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_24'>\n\t\t\t<div class='gchoice gchoice_28_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Strongly Agree'  id='choice_28_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_24_0' id='label_28_24_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Agree'  id='choice_28_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_24_1' id='label_28_24_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Disagree'  id='choice_28_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_24_2' id='label_28_24_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Strongly Disagree'  id='choice_28_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_24_3' id='label_28_24_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Supervisor helped me to recognize areas where my skill or knowledge was strong<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_25'>\n\t\t\t<div class='gchoice gchoice_28_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Strongly Agree'  id='choice_28_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_25_0' id='label_28_25_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Agree'  id='choice_28_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_25_1' id='label_28_25_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Disagree'  id='choice_28_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_25_2' id='label_28_25_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Strongly Disagree'  id='choice_28_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_25_3' id='label_28_25_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Supervisor helped me to recognize areas where my skill or knowledge needed improvement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_26'>\n\t\t\t<div class='gchoice gchoice_28_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Strongly Agree'  id='choice_28_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_26_0' id='label_28_26_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Agree'  id='choice_28_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_26_1' id='label_28_26_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_26_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Disagree'  id='choice_28_26_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_26_2' id='label_28_26_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_26_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Strongly Disagree'  id='choice_28_26_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_26_3' id='label_28_26_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Supervisor supported me to engage in learning opportunities such as training, staff meetings, conferences, agency visits, etc.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_27'>\n\t\t\t<div class='gchoice gchoice_28_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Strongly Agree'  id='choice_28_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_27_0' id='label_28_27_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Agree'  id='choice_28_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_27_1' id='label_28_27_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Disagree'  id='choice_28_27_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_27_2' id='label_28_27_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_27_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Strongly Disagree'  id='choice_28_27_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_27_3' id='label_28_27_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Supervisor reviewed my progress regularly and explored strategies to resolve any problems or obstacles to my learning<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_28'>\n\t\t\t<div class='gchoice gchoice_28_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Strongly Agree'  id='choice_28_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_28_0' id='label_28_28_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Agree'  id='choice_28_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_28_1' id='label_28_28_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Disagree'  id='choice_28_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_28_2' id='label_28_28_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Strongly Disagree'  id='choice_28_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_28_3' id='label_28_28_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_28_22\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_22'>Comments on supervision:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_28_22' class='textarea medium'  aria-describedby=\"gfield_description_28_22\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_28_22'>indicate N\/A if no comment to add.<\/div><\/div><div id=\"field_28_29\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">The Faculty Liaison Role<\/h3><\/div><fieldset id=\"field_28_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The Faculty Liaison was accessible and responsive when I needed additional contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_33'>\n\t\t\t<div class='gchoice gchoice_28_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Strongly Agree'  id='choice_28_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_33_0' id='label_28_33_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Agree'  id='choice_28_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_33_1' id='label_28_33_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Disagree'  id='choice_28_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_33_2' id='label_28_33_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Strongly Disagree'  id='choice_28_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_33_3' id='label_28_33_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Any problems or issues arising on placement were handled respectfully and in a timely fashion by my Faculty Liaison<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_35'>\n\t\t\t<div class='gchoice gchoice_28_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Strongly Agree'  id='choice_28_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_35_0' id='label_28_35_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Agree'  id='choice_28_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_35_1' id='label_28_35_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Disagree'  id='choice_28_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_35_2' id='label_28_35_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Strongly Disagree'  id='choice_28_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_35_3' id='label_28_35_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Not applicable'  id='choice_28_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_35_4' id='label_28_35_4' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My Faculty Liaison provided me with written summary reports following the initial and mid-point consultations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_36'>\n\t\t\t<div class='gchoice gchoice_28_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Strongly Agree'  id='choice_28_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_36_0' id='label_28_36_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Agree'  id='choice_28_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_36_1' id='label_28_36_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Disagree'  id='choice_28_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_36_2' id='label_28_36_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Strongly Disagree'  id='choice_28_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_36_3' id='label_28_36_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The practicum seminars provided me with opportunities to learn about different areas of practice and strengthen the links between my formal studies in the program (e.g., social work knowledge, approaches, values, skills) and my field work<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_37'>\n\t\t\t<div class='gchoice gchoice_28_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Strongly Agree'  id='choice_28_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_37_0' id='label_28_37_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Agree'  id='choice_28_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_37_1' id='label_28_37_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Disagree'  id='choice_28_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_37_2' id='label_28_37_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Strongly Disagree'  id='choice_28_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_37_3' id='label_28_37_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The Supplemental Seminars provided me with enhanced opportunities to explore the unique role of social workers in various settings and apply social work perspectives to my field work<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_38'>\n\t\t\t<div class='gchoice gchoice_28_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Strongly Agree'  id='choice_28_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_0' id='label_28_38_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Agree'  id='choice_28_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_1' id='label_28_38_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Disagree'  id='choice_28_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_2' id='label_28_38_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Strongly Disagree'  id='choice_28_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_3' id='label_28_38_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_38_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Not Applicable'  id='choice_28_38_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_4' id='label_28_38_4' class='gform-field-label gform-field-label--type-inline'>Not Applicable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_28_31\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_31'>Comments on the Faculty Liaison role:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_28_31' class='textarea medium'  aria-describedby=\"gfield_description_28_31\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_28_31'>indicate N\/A if no comment to add.<\/div><\/div><div id=\"field_28_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">The Placement Process and Practicum Coordinator Role<\/h3><\/div><fieldset id=\"field_28_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I had access to clear and helpful information in advance of the placement process that outlined and guided the placement process (e.g., preparing for placement emails, Practicum Hub, orientation session, manual)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_34'>\n\t\t\t<div class='gchoice gchoice_28_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Strongly Agree'  id='choice_28_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_34_0' id='label_28_34_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Agree'  id='choice_28_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_34_1' id='label_28_34_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Disagree'  id='choice_28_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_34_2' id='label_28_34_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Strongly Disagree'  id='choice_28_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_34_3' id='label_28_34_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I had ongoing support from a Practicum Coordinator as needed to apply to an available field placement opportunity and to understand the steps and requirements for finalizing a placement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_39'>\n\t\t\t<div class='gchoice gchoice_28_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Strongly Agree'  id='choice_28_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_39_0' id='label_28_39_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Agree'  id='choice_28_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_39_1' id='label_28_39_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Disagree'  id='choice_28_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_39_2' id='label_28_39_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Strongly Disagree'  id='choice_28_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_39_3' id='label_28_39_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The Practicum Manual and Course Outline provided clear information about my practicum course requirements (i.e., field hours, practicum seminars, consultations, learning contract, assignments and evaluations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_40'>\n\t\t\t<div class='gchoice gchoice_28_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Strongly Agree'  id='choice_28_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_40_0' id='label_28_40_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Agree'  id='choice_28_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_40_1' id='label_28_40_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Disagree'  id='choice_28_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_40_2' id='label_28_40_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Strongly Disagree'  id='choice_28_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_40_3' id='label_28_40_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Any problems or issues arising on placement were handled respectfully and in a timely fashion by the Practicum Coordinator<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_41'>\n\t\t\t<div class='gchoice gchoice_28_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Strongly Agree'  id='choice_28_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_41_0' id='label_28_41_0' class='gform-field-label gform-field-label--type-inline'>Strongly Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Agree'  id='choice_28_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_41_1' id='label_28_41_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Disagree'  id='choice_28_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_41_2' id='label_28_41_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Strongly Disagree'  id='choice_28_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_41_3' id='label_28_41_3' class='gform-field-label gform-field-label--type-inline'>Strongly Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Not applicable'  id='choice_28_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_41_4' id='label_28_41_4' class='gform-field-label gform-field-label--type-inline'>Not 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