Music Therapy Therapist Skills Checklist Form
Use this checklist to assess a music therapy therapist’s skills, clinical practice, and readiness. Complete each section based on observed or reviewed performance.
Therapist Profile
Full Name
*
First Name
Middle Name
Last Name
Job Title / Role
*
Organization or Practice Name
*
Years of Music Therapy Experience
*
Primary Work Setting
*
Hospital
School
Private Practice
Hospice/Palliative Care
Rehabilitation
Community Center
Other
Primary Client Population Served
*
Children
Adolescents
Adults
Older Adults
Neurodivergent Clients
Mental Health Clients
Medical/Rehab Clients
Mixed
Primary Clinical Specialty / Focus
Music Therapy Skills Checklist
Core Competency Rating
*
Rows
Not Demonstrated
Novice
Developing
Proficient
Exemplary
Therapeutic relationship building
1
2
3
4
5
Active listening
6
7
8
9
10
Client rapport
11
12
13
14
15
Session planning
16
17
18
19
20
Improvisation
21
22
23
24
25
Vocal techniques
26
27
28
29
30
Instrumental proficiency
31
32
33
34
35
Rhythm and pacing
36
37
38
39
40
Adapting to client needs
41
42
43
44
45
Goal setting
46
47
48
49
50
Progress monitoring
51
52
53
54
55
Documentation
56
57
58
59
60
Self-Assessed Confidence
Rows
Very Low
Low
Moderate
High
Very High
Therapeutic relationship building
61
62
63
64
65
Active listening
66
67
68
69
70
Client rapport
71
72
73
74
75
Session planning
76
77
78
79
80
Improvisation
81
82
83
84
85
Vocal techniques
86
87
88
89
90
Instrumental proficiency
91
92
93
94
95
Rhythm and pacing
96
97
98
99
100
Adapting to client needs
101
102
103
104
105
Goal setting
106
107
108
109
110
Progress monitoring
111
112
113
114
115
Documentation
116
117
118
119
120
Skills Demonstrated
Therapeutic relationship building
Active listening
Client rapport
Session planning
Improvisation
Vocal techniques
Instrumental proficiency
Rhythm and pacing
Adapting to client needs
Goal setting
Progress monitoring
Documentation
Other
Therapeutic relationship building rating
1
2
3
4
5
Active listening rating
1
2
3
4
5
Client rapport rating
1
2
3
4
5
Session planning rating
1
2
3
4
5
Improvisation rating
1
2
3
4
5
Vocal techniques rating
1
2
3
4
5
Instrumental proficiency rating
1
2
3
4
5
Rhythm and pacing rating
1
2
3
4
5
Comments / evidence
Clinical Practice and Session Management
Assessment and goal alignment
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Intervention selection
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Maintains session structure
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Time management
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Behavior management
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Trauma-informed approach
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Cultural responsiveness
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Communication with care teams and families
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Record keeping
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Professional boundaries
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Examples of strengths
Areas for improvement
Adaptability, Ethics, and Safety
Adapting sessions for varying abilities
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Recognizing signs of client distress
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
De-escalation skills
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Emergency awareness and response
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Ethical decision-making
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Confidentiality practices
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Use of inclusive and respectful language
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Accessibility accommodations
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Referral or escalation when needed
*
Needs Improvement
Developing
Competent
Proficient
Exemplary
Needs additional supervision or training in any area?
*
Yes
No
If yes, specify areas for supervision or training
Evaluator Summary
Overall Competency Rating
*
Needs Improvement
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Needs Improvement, 10 is Excellent
Recommendation Status
*
Ready to practice independently
Ready with minor support
Needs more supervision
Not ready at this time
Top Strengths
*
Key Development Priorities
*
Reviewer Name and Role
*
Additional Comments
Submit Checklist
Should be Empty: