BBP 2

loubell

ORSandSRSformsforusinginpractice1.pdf

Home >Social Science homework help >Philosophy homework help >BBP 2

283

OUTCOME RATING SCALE (ORS)

Name: ______________________________________ Age (Yrs): __________ Sex: M/F

Session #: ________________ Date: ________________________

Who is filling out this form? Please check one: Self __________ Other __________

If other, what is your relationship to this person? ____________________________

Looking back over the last week, including today, help us understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. If you are filling out this form for another person, please fill out according to how you think he or she is doing.

Individually (Personal well-being)

I------------------------------------------------------------------------I

Interpersonally (Family, close relationships)

I------------------------------------------------------------------------I

Socially (Work, school, friendships)

I-------------------------------------------------------------------------I

Overall (General sense of well-being)

I-------------------------------------------------------------------------I

A P P E N D I X

Outcome Measures and Forms

International Center for Clinical Excellence _________________________________________ Source: www.centerforclinicalexcellence.com

SESSION RATING SCALE (SRS V.3.0)

Name: ______________________________________ Age (Yrs): __________ Sex: M/F

Session #: ________________ Date: ________________________

Please rate today’s session by placing a mark on the line nearest to the descrip- tion that best fits your experience.

Relationship

I------------------------------------------------I

Goals and Topics

I------------------------------------------------I

Approach or Method

I------------------------------------------------I

Overall

I------------------------------------------------I

I did not feel heard, understood, and respected.

I felt heard, understood, and respected.

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.

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

The therapist’s approach is a good fit for me.

There was something missing in the session today.

Overall, today’s session was right for me.

International Center for Clinical Excellence _________________________________________ Source: www.centerforclinicalexcellence.com

286 A P P E N D I X