Peer Feedback Form CS by E0sMP6M

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									PEER FEEDBACK FORM – COUNSELLING SKILLS

Feedback given to:                             Group:                Date:


Feedback done by:


Skills Demonstrated, i.e making progress, needs more practice, competent etc
Attending,
Observing       and
Listening




Reflecting Back




Paraphrasing




Summarising,
including    choice
point etc.




Other Comments




PRESENCE, Embodying acceptance, empathy & genuiness
i.e. some, enough, not sure, etc




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Non-Verbal Attending
Body, i.e. relaxed, too relaxed, tense, fidgets, immobile, mirrors etc




Facial Expression, i.e. friendly, impassive, anxious etc.




Voice Tone, i.e. well modulated, strident, too quiet etc.




Questions, i.e. too many, leading, tentative, open, closed etc.




Other Comments, i.e. time boundaries etc.




Feedback Skills
Ability to Give Feedback, i.e. specific, too much, confusing, descriptive, etc.




Ability to Give Growth Point, i.e. the middle part of “the sandwich”




Ability to Receive Feedback, i.e. open, defensive, visibly uses, dismisses, etc




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