Intern reflective statement assessment and feedback form

Updated October 2023, effective January 2024

Download Intern Reflective Statement Assessment and Feedback Form (2 pages DOCX)

This form is for supervisors to assess and provide feedback on the intern’s demonstration of reflective practice, and to facilitate the creation of a development plan to enhance the intern’s reflective skills where appropriate.

Refer to the Reflective Practice - Preceptor and intern user guide for further information on how to use this tool.