Trainee Feedback on FTO

Rate your Field Training Officer on each item. Be honest and specific — this feedback is used to develop our FTOs, not to evaluate you.

EMT Trainee Name *

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FTO Name *

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Start Date End Date

# of Shifts Together

Would you recommend this FTO to future trainees?

Do not include patient names or identifiers (names, dates of birth, MRNs, incident numbers) in your comments.

What did your FTO do best?

What could your FTO improve?

Signature — type your full name *

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Date

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Field Training
FTO Program

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