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What did you feel best about?

Any boundary issues arise?

Any questions about any aspect of the session?

Comments / Observations / Suggestions: _______________________________________________________________

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.

3 = Good use of the skill.  Growing comfort in using this method.  Role-play 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.

________________________________________________________

Counselor

________________________________________________________

Clinical Supervisor

Appendix D

Professional Development Plans

1/1/09 Version

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