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SUPERVISEE QUESTIONNAIRE PACKAGE FOR UNIVERSITY OF WOLLONGONG STUDENTS (Pg 3)

Your code

Number of letters in your surname 1st letter of your mother's 1st name Number of letters in your 1st name Last letter of your 1st name

Supervisor style inventory

Please indicate your perception of the style of your current or most recent supervisor on each of the following descriptors. Circle the number on the scale, from 1 to 7, which best reflects your view of your supervisor.

1. Goal-oriented
1 2 3 4 5 6 7
not very           very
 
2. Perceptive
1 2 3 4 5 6 7
not very           very
 
3. Concrete
1 2 3 4 5 6 7
not very           very
 
4. Explicit
1 2 3 4 5 6 7
not very           very
 
5. Committed
1 2 3 4 5 6 7
not very           very
 
6. Practical
1 2 3 4 5 6 7
not very           very
 
7. Intuitive
1 2 3 4 5 6 7
not very           very
 
8. Reflective
1 2 3 4 5 6 7
not very           very
 
9. Structured
1 2 3 4 5 6 7
not very           very
 
10. Evaluative
1 2 3 4 5 6 7
not very           very
 
11. Friendly
1 2 3 4 5 6 7
not very           very
 
12. Flexible
1 2 3 4 5 6 7
not very           very
 
13. Prescriptive
1 2 3 4 5 6 7
not very           very
 
14. Didactic
1 2 3 4 5 6 7
not very           very
 
15. Thorough
1 2 3 4 5 6 7
not very           very
 
16. Focused
1 2 3 4 5 6 7
not very           very
 
17. Creative
1 2 3 4 5 6 7
not very           very
 
18. Supportive
1 2 3 4 5 6 7
not very           very
 
19. Open
1 2 3 4 5 6 7
not very           very
 
20. Resourceful
1 2 3 4 5 6 7
not very           very
 
21. Invested
1 2 3 4 5 6 7
not very           very
 
22. Therapeutic
1 2 3 4 5 6 7
not very           very
 
23. Positive
1 2 3 4 5 6 7
not very           very
 
24. Trusting
1 2 3 4 5 6 7
not very           very
 
25. Warm
1 2 3 4 5 6 7
not very           very

Supervisee disclosure

Please respond to the questions based on your experience with your supervisor.

For each question, ask yourself how likely you would be to discuss issues of _____________ with your supervisor?

1. Negative reactions to supervisor
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
2. Personal issues
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
3. Clinical mistakes
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
4. Evaluation concerns
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
5. General client observations
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
6. Negative reactions to client
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
7. Countertransference
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
8. Client-counselor attraction issues
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
9. Positive reactions to supervisor
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
10. Supervision setting concerns
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
11. Supervisor appearance
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
12. Supervisee-supervisor attraction issues
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
13. Positive reaction to client
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
14. Significant mental health problems you're currently experiencing
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
15. Suicide risk assessment concerns
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
16. Your own burnout concerns
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
17. Doubts regarding mandated disclosures of child abuse
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely
 
18. Boundary concerns between you and your supervisor
1 2 3 4 5
Not at all likely Fairly unlikely Unsure Fairly likely Very likely


 
   

Last reviewed: 10 September, 2007 

 
   
 
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