Encl: (3) to COMDTINST 1550.23
Supervisor Survey Form
Course Title:______________________
Course Code:_______________________
Class Number:______________________
Section 1: Task list
Do the graduate proficiently Perform the following:
YES
NO
D
W
M
Y
A
E
O
E
I
E
N
A
L
K
T
R
If Yes, How Often
Y
L
H
L
Y
L
Y
Y
Performance Indicator A
1
2
3
4
6
Performance Indicator B
1
2
3
4
6
Performance Indicator C
1
2
3
4
6
Performance Indicator X...etc.
1
2
3
4
6
Section 2: Training Benefit
1-Training provided complete knowledge/skills to
proficiently perform task.
2-Training provided a strong base to proficiently
perform the task.
3-Training was of little or no benefit to proficiently
perform the task.
4-Task performed at unit but my duties do not
require me to complete this task.
5-Task not performed by anyone at this unit.
Which statement is most true? of
the following tasks:
Performance Indicator A
1
2
3
4
5
6
Performance Indicator B
1
2
3
4
5
6
Performance Indicator C
1
2
3
4
5
6
Performance Indicator X...etc.
1
2
3
4
5
6
2
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