Counseling Supervision Feedback Form
Please share feedback about your supervision session, including what was discussed, how supportive and helpful it was, and what follow-up would be useful.
Supervision Session Details
Supervisee Name
*
Supervisor Name
*
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervision Format
*
In-person
Video call
Phone call
Other
Session Duration (minutes)
Feedback on Session Content
Topics discussed during supervision
*
Case conceptualization
Treatment planning
Ethics and boundaries
Client progress
Interventions and techniques
Documentation
Risk and safety issues
Professional development
Other
How would you rate the discussion on the following aspects?
*
Rows
Helpful
Clear
Relevant
Case conceptualization
1
2
3
Treatment planning
4
5
6
Ethics and boundaries
7
8
9
Client progress
10
11
12
Interventions and techniques
13
14
15
Documentation
16
17
18
Risk and safety issues
19
20
21
Professional development
22
23
24
If you selected Other, please specify
Supervision Relationship and Support
How supportive was your supervisor during the session?
*
1
2
3
4
5
How clear was the supervisor's guidance?
*
Not clear
1
2
3
4
5
6
7
8
9
Very clear
10
1 is Not clear, 10 is Very clear
How responsive was the supervisor to your questions?
*
Not responsive
1
2
3
4
5
6
7
8
9
Very responsive
10
1 is Not responsive, 10 is Very responsive
How safe and comfortable did the supervisor make the learning environment feel?
*
1
2
3
4
5
What were the supervisor's key strengths?
What areas could the supervisor improve?
Outcomes and Next Steps
Overall satisfaction with the supervision session
*
1
2
3
4
5
Actions or goals to work on before the next session
*
Additional comments, concerns, or requests for future supervision topics
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