Protocol Weekly Grading Form
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Protocol Weekly Grading Form
Protocol Grading Form
Date
*
MM slash DD slash YYYY
Program Week
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Student Name
*
First
Last
Student Email
*
Clinical Performance Grading Checklist
Practical/ Internship/VIP Day
Appearance
Satisfactory
Unsatisfactory
Not Applicable
Attitude
Satisfactory
Unsatisfactory
Not Applicable
Current Event
Satisfactory
Unsatisfactory
Not Applicable
Infection Control
Satisfactory
Unsatisfactory
Not Applicable
Procedures
Satisfactory
Unsatisfactory
Not Applicable
Hair Removal
Satisfactory
Unsatisfactory
Not Applicable
Woods Lamp
Satisfactory
Unsatisfactory
Not Applicable
Mask/Toner/Moist./SPF
Satisfactory
Unsatisfactory
Not Applicable
Massage
Satisfactory
Unsatisfactory
Not Applicable
Machines
Satisfactory
Unsatisfactory
Not Applicable
Total Completed Practical Performance
Consultations
minutes spent on Consultations cleansings and analysis of face and body
Please enter a number less than or equal to
35
.
Facials
minutes spent on Manual Facials & Treatments
Please enter a number less than or equal to
35
.
Machine/Mechanical
minutes spent on Machine/Mechanical or electrical facials and treatments
Please enter a number less than or equal to
50
.
Body
minutes spent on Body treatments and back treatments
Please enter a number less than or equal to
50
.
Makeup
minutes spent on Makeup, eyebrows, and eyelashes
Please enter a number less than or equal to
50
.
Hair Removal
minutes spent on Hair Removal – waxing and tweezing
Please enter a number less than or equal to
50
.
Practical Performance Time
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