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INDIVIDUAL ROLE-PLAY SESSION RATING FORM - CLIENT Dr. Stephen Black, Counseling Techniques, PSYC 4770 Department of Psychology & Child Development California State University, Stanislaus   PLEASE ENTER YOUR CODE NAME: *     AS THE CLIENT: Complete this sentence ~ "TODAY'S SESSION WAS..." *   Extremely hindering   Moderately hindering   Slightly hindering   Neither helpful nor hindering (neutral)   Slightly helpful   Moderately helpful   Extremely helpful     As the CLIENT: How do you feel about the session you participated in today? *   Perfect   Very good   Pretty good   Fair   Poor   Very poor     AS THE CLIENT: How much progress do you feel was made in dealing with the "problems" in today's session? *   A great deal of progress   Moderate progress   Some progress   A little progress   Didn't get anywhere in this session   In some ways problems became worse     As the CLIENT: After today's session, I was able to see something from a different perspective than before. *   Not at all   Slightly   Somewhat   Moderately   Considerably   Very much     Please indicate on the scale below the number which best describes your overall level of competence at this point in the course: 0%-10% None 20% 30% 40% Somewhat 50% 60% 70% 80% Very much 90% 100% Completely *

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