CMHC INTERNSHIP SUPERVISOR EVALUATION
STUDENT & SITE INFORMATION
Supervisee:
Supervisor:
Placement Site:
Date of Field Placement:
1. My supervisor met with me for at least one hour weekly:
Always Sometimes Never
2. My supervisor observed me working with clients
Yes No
3. My supervisor viewed video tapes with me during supervision.
Yes No
4. My supervisor was available beyond the hour of required time to discuss questions and concerns for me.
Always Sometimes Never
5. I felt my supervisor was knowledgeable regarding the work I was doing and learning.
Yes No
6. I was provided with on-going feedback regarding my performance.
Always Sometimes Never
7. My supervisor and I had a good working supervisory relationship.
Yes No
8. My supervisor clearly followed ethical and professional guidelines:
Yes No
9. I would recommend this site and supervisor for future field experience students:
Yes No
Explain:
What was the most valuable part of your experience with this site and your site supervisor?
What would you have liked to change about your site and supervisor?
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