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A.4.2(c) GROUP COUNSELING ASSESSMENT FORM Youth: Group: Home: Topic: Date: Facilitator(s): Session: 1 2 3 4 56 7 8 9 10 11 12 Level of Participation this session: Stayed on subject/topic of conversation.
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How to fill out a group counseling assessment form:

01
Begin by carefully reading all instructions on the form. Make sure you understand what information is being asked for and how to provide it.
02
Begin with basic personal information, such as your name, contact details, and any other identifying information requested.
03
Provide information about the purpose of the group counseling assessment form. This could include details about the counseling program or the specific group you are participating in.
04
Answer questions about your previous counseling experiences, if applicable. This may include information about any therapy or counseling you have received in the past, as well as any specific goals or areas of focus you have for the current group counseling.
05
Complete sections related to your mental health history. This may include questions about previous diagnoses, medications, or any recent significant life events that could impact your participation in the group.
06
Provide information about your current support system. This could include details about your family, friends, or other individuals who provide support in your life.
07
Answer questions related to your expectations and goals for the group counseling experience. This could include information about what you hope to gain from participating in the group and any specific areas you would like to work on.
08
Provide any additional information requested on the form, such as emergency contact information or insurance details.
09
Review the completed form for accuracy and completeness before submitting it to the appropriate individual or organization.

Who needs a group counseling assessment form:

01
Individuals who are seeking or participating in group counseling services.
02
Organizations or therapists offering group counseling programs.
03
Anyone involved in the coordination or administration of group counseling services, such as program coordinators or counselors.
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