Texas State University Logo
Education 4032
601 University Drive
San Marcos, TX 78666-4616
Phone: 512.245.3083
Fax: 512.245.8872
adjust type sizemake font smallermake font largerreset font size

Professional Performance Evaluation

PDF Download Evaluation (PDF, 20.1 KB)

 

Professional Counseling Performance Evaluation
 
PLEASE PRINT
Student_________________________________________________ TX State ID#_____________________
 
Fall/Spring/Summer 20______ COUN ______________ Faculty___________________________________
 
Rating Scale
                N – No Opportunity to observe                                           
                0 – Does not meet criteria for program level                          2 – Meets criteria inconsistently for program level
                1 – Meets criteria minimally for program level                      3 – Meets criteria consistently for program level
 

Communication Skills and Abilities
1.        The student demonstrates the ability to establish relationships in such a manner that a working alliance can be created.
N
0
1
2
3
2.        The student demonstrates effective communication skills including:
 
 
 
 
 
a.        Creating appropriate structure – setting the boundaries of the helping frame and maintaining boundaries throughout the work such as setting parameters for meeting time and place, maintaining the time limits, etc.
N
0
1
2
3
b.        Understanding content – understanding the salient elements of the client’s story.
N
0
1
2
3
c.        Understanding context – understanding the uniqueness of the story elements and their underlying meanings.
N
0
1
2
3
d.        Responding to feelings – identifying affect and addressing those feelings in a therapeutic manner.
N
0
1
2
3
e.        Congruence – genuineness, external behavior consistent with internal affect.
N
0
1
2
3
f.         Establishing and communicating empathy – taking the perspective of the individual, without over identifying, and communicating this experience to the individual.
N
0
1
2
3
g.        Non-verbal communication – demonstrates effective use of head, eyes, hands, feet, posture, voice, attire, etc.
N
0
1
2
3
h.        Immediacy – communicating by staying in the here and now.
N
0
1
2
3
i.         Timing – responding at the optimal moment.
N
0
1
2
3
j.         Intentionality – responding with a clear understanding of the therapist’s therapeutic intention.
N
0
1
2
3
k.        Self-disclosure – skillful and carefully – considered for a specific strategic purpose.
N
0
1
2
3
3.        The student demonstrates awareness of power differences in therapeutic relationship and manages these differences effectively.
N
0
1
2
3
4.        The student collaborates with an individual to establish clear therapeutic goals.
N
0
1
2
3
5.        The student facilitates movement toward the individual’s goals.
N
0
1
2
3
6.        The student conceptualizes in a theoretically consistent manner.
N
0
1
2
3
7.        The student demonstrates the capacity to match appropriate interventions to the presenting problem in a theoretically consistent manner.
N
0
1
2
3
8.        The student creates a safe clinical environment.
N
0
1
2
3
9.        The student demonstrates the ability to analyze and resolve ethical dilemmas.
N
0
1
2
3
Professional Responsibility
1.        The student presents and conducts self in a manner so as to promote confidence in the counseling profession.
N
0
1
2
3
2.        The student relates to peers, professors, and others in a manner consistent with stated professional standards.
N
0
1
2
3
3.        The student demonstrates sensitivity to real and ascribed differences in power between themselves and others, and does not exploit or mislead other people during or after professional relationships.
N
0
1
2
3
4.        The student demonstrates application of legal requirements relevant to counseling training and practice.
N
0
1
2
3
Competence
1.        The student recognizes the boundaries of her/his particular competencies and the limitations of her/his expertise.
N
0
1
2
3
2.        The student takes responsibility for compensating for her/his deficiencies.
N
0
1
2
3
3.        The student takes responsibility for assuring the welfare of other’s when encountering the boundaries of her/his expertise.
N
0
1
2
3
4.        The student provides only those services and applies only those techniques for which she/he is qualified by education, training, and experience.
N
0
1
2
3
5.        The student demonstrates basic cognitive, affective, sensory, and motor capacities needed to respond to others.
N
0
1
2
3

 
 
Page 1 of 2
 
 
Professional Counseling Performance Evaluation
 
PLEASE PRINT
Student_________________________________________________ TX State ID#_____________________
 
Fall/Spring/Summer 20______ COUN ______________ Faculty___________________________________
 
Rating Scale
N – No Opportunity to observe
                0 – Does not meet criteria for program level                          2 – Meets criteria inconsistently for program level
                1 – Meets criteria minimally for program level                      3 – Meets criteria consistently for program level
 

Maturity
1.        The student demonstrates appropriate self-control (such as anger control, impulse control) in interpersonal relationships with faculty, peers, and others.
N
0
1
2
3
2.        The student demonstrates honesty, fairness, and respect for others.
N
0
1
2
3
3.        The student demonstrates awareness of his/her own belief systems, values, needs, and limitations and the effect of these on his/her work.
N
0
1
2
3
4.        The student demonstrates the ability to receive, integrate and/or utilize feedback from peers, instructors, and supervisors.
N
0
1
2
3
5.        The student exhibits appropriate levels of self-assurance, confidence, and trust in own ability.
N
0
1
2
3
6.        The student follows professionally recognized conflict resolution processes, seeking to informally address the issue first with the individual(s) with whom the conflict exists.
N
0
1
2
3
Integrity
1.        The student refrains from making statements which are false, misleading, or deceptive.
N
0
1
2
3
2.        The student avoids improper and potentially harmful dual relationships.
N
0
1
2
3
3.        The student respects the fundamental rights, dignity, and worth of all people.
N
0
1
2
3
4.        The student respects the rights of individuals to privacy, confidentiality, and choices regarding self-determination and autonomy.
N
0
1
2
3
5.        The student respects cultural, individual, and role differences, including those due to age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language, and socioeconomic status.
N
0
1
2
3

 
COMMENTS:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
_________________________________________­­­__________          ______­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________
Student Signature                                                    Date                        Faculty Signature                                                    Date
 
Created by the Professional Counseling Program of the Department of Educational Administration and Psychological Services,
Texas State University-San Marcos                                                                                                                       Rev 01/26/2010
Page 2 of 2