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Thursday, April 18, 2019

Peer psychotherapist support meeting feedback




Supervision Feedback Sheet

Directions:
Please place a hashmark on the line which most closely measures your degree of satisfaction with the indicator. The far left is 0% and the far right is 100%. The middle of the line would be 50%. Complete this feedback sheet as soon as you are able after the meeting. Bring it for discussion at the next subsequent meeting.

Date of the meeting_________________________________

1. I had an opportunity to talk about what I wanted to talk about.

[__________________________________________________________________________]
0                                                                                                                                                   10  

2. I felt understood.

[__________________________________________________________________________]
0                                                                                                                                                   10

3. I was able to clarify my thoughts and feelings about the topics under discussion.

[__________________________________________________________________________]
0                                                                                                                                                   10

4. As a result of the discussion I gained in confidence in my own functioning.

[__________________________________________________________________________]
0                                                                                                                                                  10

5. As a result of the discussion I gained in confidence in my purpose in working with the cases and situations reviewed.

[__________________________________________________________________________]
0                                                                                                                                                   10

6. I was able to generate and/or obtain new ideas about how to proceed.

[__________________________________________________________________________]
0                                                                                                                                                   10




7. As the meeting unfolded I felt I could trust the process and be more self disclosing.

[__________________________________________________________________________]
0                                                                                                                                                   10

8. The things discussed were relevant and useful.

[__________________________________________________________________________]
0                                                                                                                                                   10

9. A couple of things I got out of the meeting are:

            1.

            2,

10. A couple of things I would change in future meetings to improve the experience are:

            1.

            2.

11. Please prioritize the benefits below from 1 = most important to 3 = lesser importance.

            ____ Personal and professional support for my work.


            _____ It helped me know better what to do or not to do in my work to facilitate better outcomes.

            _____ It helped me grow in my professional knowledge and skills.

            _____ Other -

12. The time and effort to reflect and provide feedback on this supervisory process is worth it.

[__________________________________________________________________________]
0                                                                                                                                                   10




13. I would like the feedback process to continue to be part of our meetings.

[__________________________________________________________________________]
0                                                                                                                                                   10

14. Some questions I would like added to this feedback sheet are:



15. Questions which can be deleted from this feedback sheet are: (list numbers)

                                                                                               

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