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