Transcription of Counseling Session Feedback Form Counselor …
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Counseling Session Feedback Form Counselor …
Counseling Session Feedback form Counselor Name:_____ Date of Session :_____ Length of Segment:_____minutes Approximate percentage of time Counselor talked:_____% Key Counselor statements/questions: Question: Open (O) Closed (C) Asking for Direction (D) Reflection: Simple (S) Complex (C) Affect (A) Interpret(I) Summary (Sum) Affirmation of Effort (E) or Strength (S) Information/Advice: w/ permission (P) w/out permission (W) Confrontation (C) Acknowledge Resistance (A) Use Resistance (U) Missed Opportunity Toolbox for Nutrition Counseling Education 2007 Molly Kellogg, RD, LCSW Brief Description of Counseling Techniques Open Questions: Encourages story & exploration. Closed Questions: Elicits short answers/facts.
Counseling Session Feedback Form Counselor Name:_____ Date of Session:_____ Length of Segment:_____minutes Approximate percentage of time counselor
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