1) How important is Clinical Supervision to you or your agency?
Very Important
Not Very Important
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2) How do you structure your Clinical Supervision sessions? (Select ALL that apply)
Additional comments to structure:
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3) How often do you provide Clinical Supervision?
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4) What are some of the challenges you face with Clinical Supervision? (Check all that apply)
Additional comments to challenges:
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4) How do you track your requirements for obtaining/maintaining CREDENTIALS?
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Additional comments to how you track credentials:
Your answer
5) What are your biggest challenges with how you are tracking Credentials? (Check all that apply)
Additional comments on challenges to credential tracking:
Your answer
6) If you had access to clinical consultation/supervision remotely, would you be interested in implementing in your practice?
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7) Would you be interested in learning more about a new automated system for clinical supervision, credential management, individual planning and workforce development outcomes?
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Name:
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Agency Name (if applicable):
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City:
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State:
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