Name of the group___________________________________________ Date___________________
1 2 3 4 5 n/a yes no
Reflective listening – uses feeling statements
Paraphrasing – restates the clients message
Rephrasing – restates what the client said
Empathy – trying to see from the clients perspective
Acceptance – unconditional regard, respect. Avoids agreement or disagreement
Transparency – self-awareness, state what you feel
Opening – strong start. Set tone. Introductory statement of material to be covered during the class.
Room preparation – chairs in a circle or group members seated in a manner that encourages participation, engagement.
Curriculum – approved, evidenced based material presented. Handouts and other materials ready before group starts.
Teaching Methods Used
Using client case as examples for the group
Using the white board
Motivational Interviewing Skills
Ask permission to give feedback
State what you see in the clients’ behavior
State your concerns about the behavior
Assume that the client is aware and working on it
Ask client to clarify what they heard you say
Clarify misunderstandings and confirm a mutual understanding
Comments / Observations / Suggestions: ____________________________________________________________________