Participating in clinical supervision is an important part of every therapist's development. Often times the supervisor and supervisee must also navigate multiple relationships. Remaining open, accessible and responsive to feedback are three ways we can work to ensure you have the best possible experience. Please use this form to provide any feedback - constructive or positive - so we can provide you with the most effective supervision possible.

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Your Name *

Today's Date

YYYY

Supervisor's Name

Laura Cross, LMFT, AAMFT Approved Supervisor, Certified EFT Supervisor

Jonathan Thrall, LMFT, MFT Supervisor, AAMFT Approved Supervisor Candidate

Other:

What type of supervision did you receive?

Licensure Supervision - Individual

Licensure Supervision - Group

Emotionally Focused Therapy Consultation - Individual

Emotionally Focused Therapy Consultation - Group

Client Engagement Supervision - Individual

Client Engagement Supervision - Group

Other:

What was the most helpful part of your supervision experience?

What was the least helpful part of your supervision experience?

Please use this space to offer any suggestions or thoughts that may help us respond to the feedback you have offered above.

Would you like to be contacted regarding your feedback?

Yes

Other:

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If you would like to be contacted about your feedback, please provide your contact information in the space provided below.

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