Mid-Point Evaluation/Intern-Trainee

Host Company/Organization

Name of Intern/Trainee

Name of Supervisor

Your Email

I have been able to adapt to the American culture and way of life:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

I am receiving proper training and supervision:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

The placement plan (DS-7002) is being followed:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

I am making progress as an Intern/Trainee:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

I am motivated to carry out my assignments:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

My supervisor shows interest in my individual progress:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

My supervisor provides regular feedback:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

The internship/traineeship meets my expectations:
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

I (the Intern/Trainee) have the following confidential comments:

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Date