This free survey is powered by
  1. Surveys
  2. 2016
  3. July
  4. U
  5. UCSC
0%
Questions marked with a * are required Exit Survey
 
 
Thank you for your participation. Your feedback is very important.
 
 
* Intern:
   
 
 
* Primary Supervisor:
   
 
 
* Year:
   
 
 
 
Please use the following Rating Scale for all items on the Doctoral Intern Evaluation Form:

1- Not applicable/No opportunity to assess

2 - Perform significantly below expected competency level for doctoral intern. Requires constant and close supervision for basic skills. Needs remediation.

3 - Performs below expected competency level for doctoral intern. Requires ongoing supervision for basic skills.

4 - Performs as expected competency level for doctoral intern. Require standard supervision for basic skills and requires ongoing supervision for developing advanced skills.

5 - Performs above expected competency level for doctoral intern. Requires minimal supervision for basic skills and ongoing supervision for advanced skills.

6 - Performs significantly above expected competency level for doctoral intern. Displays mastery basic skills. Requires periodic supervision for refinement of advanced skills.

7 - Performs activity at advanced level-minimum level expected of senior staff in most areas. Performs activity independently requiring minimal supervision.
 
 
Select Captcha and Verify
   
 
 
 
I. Clinical Services
 
A. Individual Brief Therapy
1: Not applicable/No opportunity to assess. 2: Perform significantly below expected competency level for doctoral intern. 3: Perform significantly below expected competency level for doctoral intern. 4: Performs as expected competency level for doctoral intern. 5: Performs above expected competency level for doctoral intern. 6: Performs significantly above expected competency level for doctoral intern. 7: Performs activity at advanced level-minimum level expected of senior staff in most areas
Develop and establish therapeutic relationships with clients.
Articulate and apply one or more theoretical frameworks to client problems and treatment planning with flexibility and integration.
Ability to develop a working assessment and treatment plan for each client.
Ability to identify and utilize treatment approaches that fit standard of care and are empirically supported for specific psychological presentations, diagnoses, and populations.
Formulate and define brief therapy goals and work effectively within a brief therapy framework.
Conduct a working phase of therapy leading to improved adjustment, behavioral change, and/or academic.
Document case notes, termination summaries, and referrals concisely and in a timely fashion.