Interviewing: Principles and Practices
by Charles J. Stewart and William B. Cash 

Health Care Interview Evaluation

Name:__________________

This evaluation form indicates the points awarded for each section and also provides a rating.For the rating system, 5=Excellent, 4=Above Average, 3=Average, 2=Below Average, 1=Poor.  The rating system is simply an additional reference for you to understand the effectiveness of each element of your presentation and does not directly correspond to the points awarded.

Structure of Interview

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Rating:  1   2   3   4   5 

Comments:
Use of Questions

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Rating:  1   2   3   4   5

Comments:
Rapport Established

___/___ 

Rating: 1   2   3   4   5

Comments:
Listening Skills

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Rating:  1   2   3   4   5

Comments:
 
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