HTML Preview Training Professional Feedback page number 1.


!"#$#%&"'()*%+,",-*'./&#$#$-'(/,-/&0'
122345!6'1789'
.85:;:;<'=:.2'122345!6!
:$>,
Institution!/!Organiza tion!N am e
Clinic!Name!(Dept/Service/Unit)
Other!(Rotation/Setting)
'
2?&"@&A#,$',>'./&#$#$-'=#AB'2CDB/#B$%B)'
8&AB'A+B'EB-/BB'A,'F+#%+'*,@/'BCDB%A&A#,$)'&G,@A'A+B'.85:;:;<'=:.2'BCDB/#B$%B'FB/B'0BAH
Below!
Average
Average
Very!
Good
Excellent
Exceptional
Cannot!
Judge
15%!
30%!
30%!
15%!
5%!
!
1)!Test!Administration
2)!Interviewing
3)!Test!Interpretation
4)!Report!Writing
5)!Individual!Psychodynamic!
Therapy
6)!Individual!CBT!Therapy
7)!Other!Individual!Therapy!
8)!Group!Therapy!
9)!Family!or!Couple!Therapy!
10)!Communicating!Findings!to!
other!Professionals!
11)!Supervision!
12)!Research!
13)!Sensitivity!/!Skill!with!
Diversity!
14)!Involvement!in!Supervision!of!
Junior!Stude n t!Tr ain e es !
15)!Overall!Amount!Learned!from!
Participating!in!this!Training!Site!
./&#$#$-'=#AB'1BBEG&%I'
Explain!
Ratings
(Additional!information!and!explanation!of!ratings.)
Strengths!
(Strengths!of!the!training!site.)
Weaknesses!!
&!Potential!
Growth!Areas!
(Constructive!feedback!abo ut!po tential!gro w th!areas !to!imp rove!train ing!ex perien ce.)
'=#AB'
8&A#$-'
8&AB'*,@/',?B/&""'A/&#$#$-'BCDB/#B$%B',>'A+B'.85:;:;<'=:.2'#$'AB/0)',>'>,)AB/#$-'*,@/'D/,>B))#,$&"'
EB?B",D0B$A'&$E'0BBA#$-'*,@/'%&/BB/'$BBE)H
Inadequate
Below!Average
Average
Very!Good
Excellent
Exceptional
2#A+B/'F/#AB'$&0B'#$'(2;!:J',/'+&$EK#$':;'(28=7;'A,'-BA'%/BE#A'>,/'%,0D"BA#$-H'''
5""'#EB$A#>*#$-'#$>,/0&A#,$'F#""'GB'/B0,?BEH''3,'$,A'#$%"@EB'E&AB)',$'A+#)'>,/0H'
APC 2011-2012
DOWNLOAD HERE


Instead of wondering when your next vacation is, you ought to set up a life you don’t need to escape from. | Seth Godin