NP STUDENT Bootcamp Post Reflective Assessment Please complete this form after the bootcamp to provide feedback and share your learning experience. Name First Last Credentials Email Mindset(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am confident that I will be an effective studentI am on a personal journey toward race consciousness.Provider Communication(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am confident with my communication as a providerPhysical Assessment(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am confident in my ability to conduct a patient interviewI think history is an effective tool for talking about race in educational discussionsPrescribing(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am confident in writing prescriptionsDocumentation(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am confident in my patient history documentationPlease write in any additional comments