Goal / plan to strengthen skill level: __________________________________________________________________
1 = More training needed to clarify how and when to use this skill. Role-play with colleague or supervisor.
2 = Good efforts to use skill. Observe a colleague’s group to see it used within 14 days. _____________________(Name, date)
3 = Good use of the skill. Growing comfort in using this method. Role-play & observe colleague to strengthen skill level.
4 = Effective use of skill in timing, context. Good understanding this method. Demonstrate, role-play to peers with 1-3 ratings.
5 = Excellent, consistent, effective demonstration of this skill. Mastery of the technique.
n/a = Not applicable to the group context or skill not demonstrated.