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Hospital Name
City
Country
Name
Email
How would you rate your elective at this hospital? excellent very good good disappointing very disappointing
Please tell us about your experience at this hospital
Are there any tips you'd like to pass on about the local area / culture?
How far in advance did you need to arrange your placement?
Did you have to pay a registration fee? yes no
How much were the fees?
What else did you need to provide?
Did you stay in hospital accommodation? yes no
Where did you stay?
How much did it cost? euro USD AUD GBP --local currency-- per week per month
What department did you spend the most time in during your elective? ?
Did you receive any tuition during your elective? yes no
Was this teaching … formal informal
Please tell us about the teaching you received …
Were you given the opportunity to undertake any research during your elective? yes no
Were these research opportunities … formal informal
Please describe your research …
How much is eight plus nine? (we’re just checking you're a real, live human being, and not a robot!)