This questionnaire is intended to help you and your supervisor evaluate how effective and satisfactory your CBT supervision is. Using this questionnaire as the basis for a collaborative conversation could help clarify any changes that you and your supervisor could make to get more out of supervision. Simply circle the number under the answer that best reflects how you feel about the way that you and your supervisor are working together. Then add up the totals for each column on both pages and record the final total.
If you would prefer to fill in this questionnaire offline you can download a pdf by clicking on the link.
This is not a validated clinical instrument and is only meant to be used to guide the progress of supervision and to head off any problems at an early stage so that you get the best out of it. The range of scores is between 0 and 96 with the higher the score the better the supervision is going. A score of less than 48 overall, or a score of less than 3 on any item, should be considered a potential source of concern and would benefit from being discussed in your next supervision session.
Please treat your scores on these or any other online questionnaires with caution. Questionnaires cannot be used to make a diagnosis of a mental health condition. Where a mental health condition has been diagnosed by a suitably qualified and experienced health professional these questionnaires may be used as a guide to the current severity of your condition. Always consult with a qualified health professional if you are concerned in any way about your mental health.
If you are worried about your safety, you should immediately consult with your GP or another suitably qualified health professional. If you are in the UK the following numbers might be of help to you:
You can find more guidance and additional helpline numbers on this NHS page: Help for suicidal thoughts