VIRTUAL COUNSELLING: EVALUATION- IBADAN

VIRTUAL COUNSELLING: EVALUATION- IBADAN

Thank you for taking the time to counsel our beneficiaries and taking the time to fill this progress report form.
Volunteer's First Name*
Volunteer's Last Name*
Beneficiary's Full Name*
Name and Surname
Length of Session*
[In minutes or hours]
Date of Session*

MonthDayYear
Date

Beneficiary's Well Being (Health, Emotional and Psychological Well Being)*

	1	2	3	4	5

1 is Poor, 5 is Very Good

Assessment of progress (rate of learning, consistency in learning/ listening to the program, improvement and challenges)*

	1	2	3	4	5

1 is Poor, 5 is Very Good

Any suggestion based on the beneficiary's assessment of progress (rate of learning, consistency in learning/ listening to the program, improvement and challenges)
Beneficiary's comments & complaints*
Volunteer's observation about the Beneficiary*
Should be Empty: