IPR

Name of Client: _____________________________________

Social Worker: ______________________________________

Date: _____________________________________________

Client, please rate today’s session by placing a mark on the line nearest to the description that best fits your experience:

I did not feel heard, understood, and respected.

Relationship

I felt heard, understood, and respected.

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Goals and Topics

We did not work on or talk about what I wanted to work on and talk about.

We worked on and talked about what I wanted to work on and talk about.

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Approach or Method

The social worker’s approach is not a good fit for me.

The social worker’s approach is a good fit for me.

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Overall

Overall, today’s session was right for me.

There was something missing in the session today.

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NOTES: Why did you rate the session this way?