Supervision Observation Form
Document observations, strengths, and next steps from a supervision session.
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Name
*
First Name
Last Name
Supervisee Name
*
First Name
Last Name
Session Format
*
In person
Video call
Phone
Other
Session Duration in Minutes
*
Session Focus
*
Observation Ratings
*
Rows
Needs development
Developing
Effective
Not observed
Active listening
1
2
3
4
Clarity of communication
5
6
7
8
Collaborative problem-solving
9
10
11
12
Strengths Observed
*
Development Feedback
*
Agreed Action Steps
*
Submit Observation
Should be Empty: