Supervision Preference Form
We value your input to ensure supervision sessions are tailored to meet your needs and preferences. Please take a moment to complete this brief form to help us schedule and plan effective sessions for 2025.
Name (Optional)
First Name
Last Name
Supervision Mode Preference
*
Telehealth Monday
Telehealth Tuesday
In-Person Thursday 9am
Preferred Frequency of Supervision
*
Monthly
Every Six Weeks
Bi-Monthly
Perception of Supervision
*
Very Helpful
Neutral / Neither positive nor negative
Not as useful as it could be
Value of Supervision in the Workplace
*
1 - Not at all valuable
2
3
4
5 - Extremely valuable
Commitment to Supervision in 2025: Are you committed to continuing supervision sessions in 2025?
*
Yes
No
Other
Additional Comments: Please share any additional preferences, needs, or feedback regarding your supervision sessions:
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