Counseling Termination Session Role-Play Evaluation Form
Evaluate the effectiveness, professionalism, and closure demonstrated during the counseling termination session role-play.
Evaluator Name
Overall quality of the role-play
*
1
2
3
4
5
How effectively did the participant facilitate closure?
*
Not effective
1
2
3
4
Highly effective
5
1 is Not effective, 5 is Highly effective
Professionalism demonstrated during the session
*
Needs improvement
1
2
3
4
Excellent
5
1 is Needs improvement, 5 is Excellent
Readiness for session termination
*
Ready
Somewhat ready
Not ready
Was the client’s progress and achievements acknowledged?
*
Yes
Partially
No
Did the participant discuss future resources or referrals?
*
Yes
Partially
No
Strengths observed during the session
Areas for improvement
Additional comments or feedback
Submit Evaluation
Should be Empty: