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Search for:
Home
About
Our Philosophy
Locations
FAQ
What We Offer
Therapy and Counseling
Life and Career Coaching
Fitness Coaching
Nutrition and Wellness Coaching
Yoga, Meditation, and Mindfulness
Groups
Virtual Therapy and Telehealth
Wellness Professionals
Revive Online
Blog
Newsletter
Shop
FREE Consultation
Home
About
Our Philosophy
Locations
FAQ
What We Offer
Therapy and Counseling
Life and Career Coaching
Fitness Coaching
Nutrition and Wellness Coaching
Yoga, Meditation, and Mindfulness
Groups
Virtual Therapy and Telehealth
Wellness Professionals
Revive Online
Blog
Newsletter
Shop
FREE Consultation
Staff Survey – Internship Program
Chris Obara
2022-04-25T18:05:15+00:00
Internship Program Survey
Internship Program Survey
This is to be completed by each intern, after they have completed their placement with Revive.
PROGRAM INFORMATION
Degree
*
MSW
MFT
Other
University
*
Year Internship Ended
*
SUPERVISOR & SUPERVISION
My Supervisor's name was _______________.
*
I felt that my supervisor created opportunities and helped me grow and learn clinically.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that my supervisor made them self available for me, when needed.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that my supervisor’s schedule made supervision adequately available.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that both my strengths and weaknesses were frequently discussed during supervision.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
It was clear, that self-care and work-life balance was important to my supervisor and Revive management.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My supervisor modeled self care by__________.
INTERNSHIP SEMINAR
I felt that 90 minutes for intern seminar was __________.
*
Way too Long
Too Long
Perfect
Too Short
Way too Short
The number of topics covered during intern seminar was _________.
*
Way Too Many
Too Many
Perfect
Too Few
Way Too Few
I found intern seminar to be useful to my growth as a clinician.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What intern seminar topic did you find to be most beneficial, and why?
*
What topic do you wish was covered (or covered in more depth) in intern seminar, and why?
*
Please provide any additional information about your experience with Revive's intern seminar.
CLINICAL CASELOAD
I felt that I was assigned the correct number of cases, based on my program requirements and my personal needs.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Within my caseload, I felt that I was given a wide range of case and demographic types
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Within my caseload, I felt that I was given opportunities to learn and build skills.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Type of cases that were assigned to you during internship (Select all that Apply)
*
Grief and Loss
Personal Trauma
Depression
Behavioral
Academics
Self-Esteem/Body Image
Anxiety
Weight Loss
Health Concerns
Life/Career Goals
Relationship/Marriage
Sexuality
Life Transitions
Family
Other
NON-CLINICAL TRAINING
I felt that I knew who to speak to, when I needed additional cases.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that I knew who to speak to, when I had a question about billing.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that I was adequately trained on how to use Revive's Electronic Health Records system and other technology systems.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that I was adequately trained on office procedures.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Non-clinical (administrative, paperwork, program, etc.) things that I wish I knew before I started at Revive:
How did you acquire the information that you weren’t adequately provided?
Areas of non-clinical training that Revive could improve upon:
ADDITIONAL INFORMATION
I felt that the Revive community was welcoming to interns and promoted an environment where I felt comfortable asking questions.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt that Revive made my learning needs/goals a priority.
*
Not Applicable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What skills & tools do you now have as a result of your intern experience with Revive?
Please provide any additional information about your experience with Revive
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