Elective Feed Back Form

 

Welcome Home

We the Kilimatinde Trust hope that your time at Kilimatinde / Manyoni Hospitals was an enjoyable and fruitful experience.

We would love to hear stories of your time and experiences whilst in Tanzania.  The feedback that you provide helps us prepare others for their time in Tanzania.


First Name:*
Last Name:*
Dates of your Elective:*
Did you attend a briefing before your elective:*
Yes
No
How helpful did you find the briefing:
Very Useful
Useful
OK
Not very useful
In what ways could we improve the briefing meeting.:
Were you met at the airport and how was the accommodation and the Bus travel to Kilimatinde:*
Were you met from the bus in Solya:*
Yes
No
Did you carry out your Elective in a group:*
Yes
No
How many Students were carrying out their Elective with you:*
Which Hospitals did you carry out your Elective in:*
Please give a short statement of your experiences during your elective:*
Please tell us how you think we could improve the Elective experience in Kilimatinde:
Would it be helpful to talk in confidence, to the GP on the Trust about you clinical experiences during your elective:*
Yes
No
I am willing for you to contact me with regard to my elective experience:*
Yes
No
Email Address:
Please enter the verification number on the right:*
nine seven eight three two
* Required Fields