COUNS 621 ADVANCED THEORIES

CLIENT REFLECTION FORM

(Adapted from Dr. Hulse-Killacky, 2000)

Name:

 

Date:

 

Session Number:

 

Please reflect on your experience as a client this past week and respond to the following:

 

What worked for you in the session?

 

 

 

 

 

What did you observe in yourself during the session, and in the counselor?

 

 

 

 

 

What did not work for you in the session?

 

 

 

 

 

What counseling skills and techniques did you observe the counselor use?

 

 

 

 

 

Was/(Were) the technique(s)/experiment(s) appropriate for you as the clients?

 

 

 

 

 

What major learning point(s) did you take from this experience as:

 

            A client…

 

 

 

 

            A counselor…