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Goal / plan to strengthen skill level: _________________________­­_________________________________________

Rating Scale

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.

________________________________________________________

Group Facilitator

________________________________________________________

Clinical Supervisor

INDIVIDUAL SESSION COUNSELOR SKILLS OBSERVATION WORKSHEET

Counselor_________________________________________________

1/1/09 Version

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