COUNSELING PRACTICUM / COUNSELING OBSERVATION SHEET

8/13/2019 COUNSELING PRACTICUM / COUNSELING OBSERVATION SHEET

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COUNSELING PRACTICUMCOUNSELING OBSERVATION

Counselor:

Client:Observation Location:

Observed by:Date:Time:

INSTRUCTIONS TO THE OBSERVER

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This form consists of 8 sections

1. Counseling Setting,2. Counselor Preparation,3. Counseling Skills,4. Human Relations Skills,5. Counseling Process,6. Counseling Theory,7. Counseling Technique,8. Ratio9. Operation Level10. Emotional Journey11. Observation Summary

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Answer each of the statements by indicating one of the measurements5 = Excellent,4 = Above average,3 = Average,2 = Below average,1 = Poor,NA = Not applicable).

Any assessment shall be addressed under the observation comments.


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SECTION I COUNSELING SETTING MeasurementObservation: 5 4 3 2 1 NA

1 The counseling/advising area was neat, clean and well organized.

2 The counselor provided an environment conducive to the circumstance.

Observation Comments:

SECTION II - COUNSELOR PREPARATION Measurement

Observation 5 4 3 2 1 NA

1 The counselor utilized equipment, tools, materials, and supplies to enhanceclient experience related to the circumstance.

2The material/information was delivered in a manner conducive to c lientneeds/understanding.

3The counselor's preparation enabled him/her to support the client objective(s)and/or need(s) in an optimal manner.

4 The counselor is current and up-to-date in the subject material.



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SECTION III COUNSELING SKILLS MeasurementObservation 5 4 3 2 1 NA

1The counselor made clear, at the beginning of the session, what the client canaccomplish according to their interest.

2The counselors delivery of information was conducive to client successfullymeeting their objective(s) or need(s).

3To maximize support for client objective(s) or need(s), the counselor encouragedthe client to establish timelines and/or accomplish specific activities.

4 The counselor used activities that supported the objective(s) and/or need(s).

5The counselor checked the client s level of understanding of what was beingexplained before moving on to the next topic.

6 Explanations were clear and concise with important points emphasized.

7The counselor utilized a variety of advising/counseling methods to accommodatevaried client learning styles.

8 Recommendations and directions were clear and concise.

9The counselor utilized appropriate assessment tools to evaluate client sobjective(s) and/or need(s).

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Structuring Counseling information (objectives, time, private and confidential nature of

the session, etc.) was presented in a clear, organized and informativemanner.

Help client become aware of the counseling process, role of counselor andthe client.

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AttendingSOLER S: Face the client S quarely O: Adopt an Open posture L: Lean toward the other E: Make Eye contact R: Be relatively Relaxed

Non-verbal Body language / Facial expression Head nods


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Use of gestures Body position / movement

12 Active Listening

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Probing Vocal and verbal prompts (um, uh-huh, yes, okay, I see, ah, sure, oh)

Statements Requests Single words or phrases Questions

Open-ended questions Close-ended questions

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Voice Quality Accent Volume Pitch Speed

15 Use of Silence

16 Paraphrasing

17 Reflection

18 Summarizing



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SECTION IV - HUMAN RELATIONS SKILLS MeasurementObservation 5 4 3 2 1 NA

1The counselor maintained an environment to maximize support to the clientobjective(s) and/or need(s).

2The counselor utilized appropriate communication methods to maximize supportto the client objective(s) and/or need(s).

3 The counselor demonstrated respect for the client.

4During interaction with the client, the counselor demonstrated a positive attitudetowards the client.

5The counselor demonstrated interest and enthusiasm for material beingpresented.


SECTION V COUNSELING PROCESS MeasurementObservation 5 4 3 2 1 NA

1 The counselor demonstrated interest, enthusiasm and patience in the session.

2 The counselor provided an environment to promote the active role of the client.

3 The counselor maintained mutually respectful relationship with client.



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SECTION VI COUNSELING THEORY MeasurementObservation: 5 4 3 2 1 NA

1The counselor demonstrated the use of appropriate techniques that are relevantto the topic and to the clients needs and concerns.


SECTION VII COUNSELING TECHNIQUE MeasurementObservation: 5 4 3 2 1 NA

1The counselor demonstrated the use of appropriate techniques that are relevant

to the topic and to the clients needs and concerns.


SECTION VIII RATIO Measurement

Observation: Percentage1 Counselor

Client



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SECTION IX OPERATION LEVEL MeasurementObservation: Remarks

1 Cognitive level

2 Affective level


SECTION X EMOTIONAL JOURNEY MeasurementObservation: Remarks

1 Counselor

2 Client



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SECTION XI OBSERVATION SUMMARYObservation: Remarks

1 Strengths

2 Weakness

3 Areas of Concern

4Suggestion /Recommendation

Observer Sign

COUNSELING PRACTICUM / COUNSELING OBSERVATION SHEET

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