Supervisor Feedback Form-Stephanie

Supervision Feedback Form: Stephanie Fuller

Completing this anonymous form allows Stephanie to refine her supervision methods, reflect on her effectiveness, and work to maintain trusting, collaborative relationships crucial for a supervisees growth and clients safety. Please note this form is anonymous, unless you chose to identify yourself at the end by adding your name information.
Please note this form is anonymous, unless you choose to identify yourself at at the end of by adding your name information.
Please rate thee appropriate number on a scale from 1-5, where 1 indicates needs development and 5 indicates exceptional performance for usefulness of supervision:*

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Please rate thee appropriate number on a scale from 1-5, where 1 indicates needs development and 5 indicates exceptional performance for clinical direction and support:*

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Please rate thee appropriate number on a scale from 1-5, where 1 indicates needs development and 5 indicates exceptional performance for availability and responsiveness:*

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Please rate thee appropriate number on a scale from 1-5, where 1 indicates needs development and 5 indicates exceptional performance for collaboration:*

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Please rate thee appropriate number on a scale from 1-5, where 1 indicates needs development and 5 indicates exceptional performance for ability accepting different perspectives:*

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Three aspects you found helpful*
Three aspects you found less helpful*
Name- please note this is not required

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Supervision Feedback Form: Stephanie Fuller