ch01_feedback_form111.docx - Chapter 1 Introduction Foundations of Interviewing and Counseling Box 1-4 Client Feedback Form Samantha Bagshaw Amber

ch01_feedback_form111.docx - Chapter 1 Introduction...

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Chapter 1, Introduction: Foundations of Interviewing and Counseling Box 1-4 Client Feedback Form June 11, 2020 Samantha Bagshaw Amber Boccella Instructions: Rate each statment on a 7-point scale with 1 representing “strongly disagree (SD) ” and 7 “strongly agree (SA)”. N is the mid-point “neutral”. (I prefer strongly because it is not quite as definite as completely.) Note: You and your instructor may wish to change and adapt this form to meet the needs of varying clients, agencies, and situations. Strongly Disagree Neutral Strongly Agree SD N SA 1. (Awareness) The session helped you understand the issue, opportunity, or problem more fully. 1 2 3 4 5 6 7 2. (Awareness) The interviewer listened to you. You felt heard. 1 2 3 4 5 6 7 3. (Knowledge) You gained a better understanding of yourself today. 1 2 3 4 5 6 7 4. (Knowledge) You learned about different ways to address your issue, opportunity or problem. 1 2 3 4 5 6 7 5. (Skills) You will take action and do something in terms of
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