Gives timely and helpful feedback to Supervisee regarding facilitative and non-facilitative counseling 1 2 3 4 5 NA behavior Challenges Supervisee when appropriate and as 1 2 3 4 5 NA appropriate Assists Supervisee in planning effective client 1 2 3 4 5 NA goals/objectives Can identify and communicate Supervisee’s 1 2 3 4 5 NA professional and personal strengths and weaknesses Is available on a regular basis for 1 2 3 4 5 NA supervision/consultation Page 1 of 2 B. Supervisor Effectiveness Comments: Your overall satisfaction with Clinical Supervisor 1 2 3 4 5 NA Competence of Supervisor at giving useful 1 2 3 4 5 NA supervision Interactions with Supervisor contribute to your 1 2 3 4 5 NA counseling abilities and knowledge Interactions with Supervisor assist you to help your 1 2 3 4 5 NA clients change, grow, or improve Interactions with Supervisor contribute to increasing 1 2 3 4 5 NA your self-confidence as a counselor Comments: C. Overall Satisfaction with site 1 2 3 4 5 NA D. Comments
Gives timely and helpful feedback to Supervisee regarding facilitative and non-facilitative counseling behavior 1 2 3 4 5 NA Challenges Supervisee when appropriate and as appropriate 1 2 3 4 5 NA Assists Supervisee in planning effective client goals/objectives 1 2 3 4 5 NA Can identify and communicate Supervisee’s professional and personal strengths and weaknesses 1 2 3 4 5 NA Is available on a regular basis for supervision/consultation 1 2 3 4 5 NA Page 1 of 2 B. Supervisor Effectiveness Comments: Your overall satisfaction with Clinical Supervisor 1 2 3 4 5 NA Competence of Supervisor at giving useful supervision 1 2 3 4 5 NA Interactions with Supervisor contribute to your counseling abilities and knowledge 1 2 3 4 5 NA Interactions with Supervisor assist you to help your clients change, grow, or improve 1 2 3 4 5 NA Interactions with Supervisor contribute to increasing your self-confidence as a counselor 1 2 3 4 5 NA Comments: C. Overall Satisfaction with site 1 2 3 4 5 NA D. Comments