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Student Evaluation of Clinical Consultant
We would greatly appreciate your completion of this survey. It is important for us to understand your consultation experience. Your responses will in no way affect your relationship with ICSW. Please provide a response to each question.
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1.
Who was your clinical consultant?
(Required.)
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2.
What is the date of this evaluation?
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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3.
What Practicum was this for you?
(Required.)
PhD Clinical Practicum I
PhD Clinical Practicum II
PhD Clinical Practicum III
PhD Clinical Practicum IV
PhD Clinical Practicum V
PhD Clinical Practicum VI (students who matriculated before 2014)
Master's Clinical Practicum I
Master's Clinical Practicum II
Master's Clinical Practicum III
Master's Clinical Practicum IV
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4.
Please rate your experience with this consultant.
The consultant is knowledgeable about psychodynamic psychotherapeutic techniques.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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5.
The consultant improved the quality of my psychodynamic thinking.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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6.
The consultant effectively guided my use of psychodynamic psychotherapy.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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7.
The consultant helped create a culture for learning / fostering growth (for example - trust, respect, engagement, flexibility, enthusiasm).
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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8.
The consultant provided specific feedback to guide my learning.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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9.
The consultant encouraged autonomy while providing guidance.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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10.
The consultant kept appointments.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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11.
The consultant’s expectations were clear (for example - verbal discussions, written report).
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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12.
The consultant guided the integration of classroom content with clinical cases.
(Required.)
Strongly Disagree
Disagree
Agree
Strongly Agree
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13.
Overall, I learned
(Required.)
Very Little
Little
A Good Deal
A Great Deal
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14.
Overall, I rate this consultant as
(Required.)
Poor
Adequate
Good
Excellent
15.
Narrative
Which aspects of this consultation were most valuable to your overall learning experience?
16.
What changes/improvements would you recommend?
Current Progress,
0 of 16 answered