Interpersonal professional relationships rating form

9 pages - 130.5 KB
Examples: empathy promotes a positive therapeutic relationship; clients express ... demonstrates effective interpersonal skills in challenging situations.
Document in text mode:
PAGE \* MERGEFORMAT 9 INTERPERSONAL PROFESSIONAL RELATIONSHIPS COMPETENCY Rating Form Trainee Name: Name of Placement: Date Evaluation Completed:Name of Person Completing Form (please include highest degree earned):Licensed Psychologist: Yes No Was this trainee supervised by individuals also under your supervision? Yes No Type of Review:Initial Review Mid-placement reviewFinal ReviewOther (please describe): Dates of Training Experience this Review Covers: _____ Training Level of Person Being Assessed: Year in Doctoral Program: Intern: Select the column corresponding to the training level of the person being assessed. Rate items in that column by responding to the following question using the scale below: How characteristic of the trainee’s behavior is this competency description? Not at All/SlightlySomewhatModeratelyMostlyVery01234If you have not had the opportunity to observe a behavior in question, please indicate this by circli...
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