Evaluation Forms

Click the link below for the evaluation that you wish to complete. At the end of the survey, please click the "Submit" button.

• Clinical Site and Instructor Evaluation Form
• Instructor and Course Evaluation Form
• Nurse Anesthesia Exit Survey Form
• Nurse Anesthesia Summative-Orientation Evaluation Form

Please return all evaluation forms to:

Eric Upshaw
Eugene Applebaum College of Pharmacy & Health Sciences
259 Mack Ave.
Detroit , MI 48201
Room 2620 (Dean's Suite)
af8230@wayne.edu
(313) 993-6624 
(313) 577-0457 FAX