October 2024 Reflective Supervision

Please report Reflective Supervision that you received in October 2024.

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1. Today's Date

MM/DD/YYYY

Date

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2. Your Name

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3. Site Name

AIHFS

BMIC

HVIC

KBIC

LRB

LTBB

LVD

NHBP

Pokagon

Sault Tribe

SCIT

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4. Did you receive Individual Reflective Supervision this month?

Yes

No

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5. If you did not receive Individual Reflective Supervision this month, please specify the reason.

On leave

Did not have time to attend

Other (please specify)

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6. Did you receive Group Reflective Supervision this month?

Yes

No