Option 1 - Interactive Form For Interviews

Interactive Form For Interviews
Name

First NameLast Name
Date

MonthDayYear
Date
Assess the Level of Care
1.) Adult male caller is seeking support today through his Employee Assistance Program

RoutineUrgentEmergentI don't know
Listen to the recording below and respond appropriately.
Please record yourself responding to the caller.
Please type your response to the caller.
2.) Adult female caller is seeking counseling services for anxiety and difficulty in sleeping.

RoutineUrgentEmergentI don't know
Listen to the recording below and respond appropriately.
Please record your response
Please type your response
3.) The caller is an adult seeking immediate support due to depression.

RoutineUrgentEmergentI don't know
Listen to the recording below and respond appropriately.
Please record yourself responding to the caller.
Please write your response to the caller.
4.) Adult caller is seeking emotional support.

RoutineEmergentUrgentI don't know
Listen to the recording below and respond appropriately.
Please record yourself responding to the caller.
Please type your response to the caller.
5.) Below is a caller calling in with anxiety reagrding their daughter. They speak quickly without giving much pause for you to speak. Catch as much of the information as you can including name, number, address of caller, the person of concern (who they are calling about), name, number and address. The recording will only be played once, so do your best.
Please record yourself showing on how you'd take control of the call.
Please type your response collecting information.
6.) When you ask for the caller to repeat themselves on some of the information, they become distressed. How would you rebuild rapport?
Please record yourself responding to the caller.
7.) Below is a recording of a clinician doing a suicide assessment that is roughly in line with our standards. What do you think of the clinician's assessment?
Please type your answer.
Thank You!
Should be Empty:

Interactive Form For Interviews

Assess the Level of Care

Thank You!