Mid-Semester Supervisor Evaluation of Intern

  • Directions: Please select a rating for each skill area. Rating Scale 1 = Needs improvement – difficulty gaining competency in this skill area 2 = New skill area 3 = Beginner level – basic competency in this area of clinical practice 4 = Intermediate level – effective in this area of clinical practice 5 = Advanced level – very effective in this area of clinical practice NEI = Not enough information
  • I. CONCEPTUAL & PERCEPTUAL SKILLS (SLO 2.1)

  • II. EXECUTIVE SKILLS (SLO 2.2)

  • III. PROFESSIONAL SKILLS (SLO 2.3)

  • IV. EVALUATION SKILLS (SLO 2.4)

  • V. PERSONAL SKILLS (SLO 2.5)

  • This evaluation has been adapted from: Nelson, T.S. & Johnson, L.N. (1999). The Basic Skills Evaluation Device. Journal of Marital and Family Therapy, 25, 1, 15-30.
  • When you hit submit, a copy of your completed form will be emailed to you and your supervisee to discuss together.

I would like to find a therapist
I would like to take a relationship workshop
I am interested in low fee services
I am interested in couples therapy
I am looking for professional education events
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