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COUNSELOR RATING OF CLIENT (CONTINUED)<br />

0<br />

B. COUNSELING FOCUS: Circle the answer that shows how much you agree or disagree with<br />

each item as a description of your counseling activities with this client.<br />

DISAGREE NOT AGREE<br />

STRONGLY ........... SURE ......... .STRONGLY<br />

1. Responding to crises. 1 2 3 4 5 6 7<br />

..............................<br />

2. Discussing occupational issues. ............... 1 2 3 4 5 6<br />

3. Establishing trust & rapport. .................... 1 2 3 4 5 6 7<br />

4. Discussing family issues. .......................... 1<br />

5. Exploring feelings. ..................................<br />

2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

6. Making new fiends. ................................ 1 2 3 4 5 6 7<br />

7. Improving communication skills. ............. 1 2 3 4 5 6 7<br />

8. Negotiating & resolving conflicts. ........... 1 2 3 4 5 6 7<br />

9. Improving family relations. ...................... 1 2 3 4 5 6 7<br />

10. Reducing denial. ......................................<br />

11. Confronting. ............................................<br />

12. Improving objectivity. .............................<br />

13. Assuming appropriate responsibility.. .......<br />

14. Defining long-range goals. .......................<br />

15. Specifjring short-term objectives. .............<br />

16. Developing coping plans & strategies. .....<br />

17. Defining personal boundaries. ..................<br />

18. Improving self-esteem. ............................<br />

19. Building confidence. ................................<br />

20. Praising and encouraging. ........................<br />

2 1. Developing problem-solving skills. ..........<br />

22. Managing finances. ..................................<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

1 2 3 4 5 6 7<br />

23. Discussing relapse situations and<br />

“triggers.”................................................ 1 2 3 4 5 6 7<br />

7 I<br />

I EndofForm I<br />

Page 2 of 2<br />

This document is a research report submitted to the U.S. Department of <strong>Justice</strong>. This report has not<br />

been published by the Department. Opinions or points of view expressed are those of the author(s)<br />

and do not necessarily reflect the official position or policies of the U.S. Department of <strong>Justice</strong>.

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