Supervisor Evaluation

Again, not a fillable form but please go ahead and download this form and fill it out as best you can before your session when we will go over the content together. If we meet by zoom, please email it. Thanks!

Name and designation of Counsellor:

Date of Evaluation: 

Total Supervision Hours:

Direct Client Contact Hours:

Supervisor Name and designation:

This document provides a compass which evaluators and/or supervisors can navigate their way through the evaluation process. The Summary Evaluation is a guide based on the following Core Competencies as outlined in the Entry-to-Practice Competency Profile (June 2, 2016, FACTBC):

  1. Foundations –Theoretical Framework
  2. Communication and Relationships
  3. Professionalism –Practice Standards and Ethics
  4. Counselling Therapy Process

Using the following rating guide, the immediate supervisor will cite areas of particular strength as well as those areas in need of improvement.  


5=Clearly outstanding (Leader), 4=Exceeds standard (Expert), 3=Meets standard (Master Level), 2=Below expectation (Novice), 1=Unsatisfactory (Learning), NA=Not applicable

Competency 1: Foundations                      

  1. Integrates knowledge of therapeutic modalities, frameworks and strategies and applies them effectively in practice. 
  2. Integrates knowledge of developmental transitions across the lifespan.  
  3. Integrates knowledge of contextual & systemic factors that affect human functioning.
  4. Integrates knowledge of human nature and how problems develop from the viewpoint of the therapist’s theoretical orientations.
  1. Aware of how therapist’s life experiences, subjectivity, values and biases may affect therapeutic outcomes.
  2. Integrates knowledge and adapts approach when working with diversity. (reference to: age, class, race, gender, ethnicity, levels of ability, language, spiritual beliefs, historic and systemic oppression, educational, achievement and sexuality)
  1. Therapeutically integrates knowledge of neurobiology, impact of trauma and effects of drug and alcohol misuse on psychological functioning.
  1. Aware of the major classes of psychotropic drugs and their effects. 
  1. Able to identify symptoms of mental health disorders and aware of possible implications for therapy. (DSM and ICD -Int’l Classification of Diseases)

Competency 2: Collegial Relations

  1. Oral, written and non-verbal communicates are clear, concise and objective.
  2. Shows respect, promotes inclusion, and maintains healthy boundaries. 
  3. Deals effectively with potential or actual conflict.
  4. Honours commitments and acts with integrity.
  5. Aware of client vulnerability and therapist influence.
  6. Collaborates when appropriate with other professionals for mutual client care.
  7. Consults with culturally relevant colleagues when appropriate.
  8. Maintains security and professionalism in online and electronic communications.

Competency 3: Professional Practice and Ethics

  1. Adheres to current provincial and federal laws and regulations.
  2. Operates within a scope of practice, employing therapy and/or supervision within therapist’s / supervisor’s level of skill and knowledge.
  3. Consults with and works under supervision when expanding therapist’s scope of practice.
  4. Adheres to legal and ethical standards of counselling practice.  
  5. Demonstrates professional and ethical conduct with colleagues and clients.
  6. Maintains wellness practices, supervision and professional development.
  7. Demonstrates time management skills.
  8. Modifies professional behaviour in response to constructive feedback.
  9. Protects client confidentiality.
  10. Manages the collection, use, retention, destruction and transfer of client records in accordance with counselling policies and provincial laws.
  11. Demonstrates sound business practices, including liability insurance, billing procedures, ethical marketing and confidentiality when dealing with third party payment.
  12. Ability to identify where advocacy for the client may be required and respond when appropriate.
  13. Ensure records are comprehensive of professional activity, legible and secure.
  14. Established procedures to deal with confidentiality exceptions and therapist absence.
  15. Third party reporting is factual, timely, and legally and ethically compliant.

Competency 4: Counselling Process

  1. Explains and evaluates personal fit within scope of practice.  
  2. Describes client confidentiality and its limits.
  3. Awareness of responsibilities of client and therapist in the therapeutic relationship.
  4. Establishes rapport with clients.
  5. Operates in an authentic and non-judgmental manner.
  6. Demonstrates unconditional positive regard and accurate expressed empathy. 
  7. Creates a safe counselling environment that fosters feelings of acceptance. ____
  8. Demonstrates active listening skills (ie. validation, probing techniques, paraphrasing clarification and encouragement of emotional expression) with clients.
  9. Employs micro-attendance skills, including effective verbal & non-verbal communication.
  10. Establishes and maintains personal and professional boundaries
  11. Ability to maintain clear, concise and accurate client records, including documentation of client intake, case notes, assessment, treatment outcomes, and referral /collaboration with other professionals. 
  12. Effectively assesses client’s history using appropriate assessment tools, formulates treatment goals and recommendations, and integrates this into the therapeutic process.
  13. Monitors client progress and evaluates efficacy of treatment.
  14. Validates client’s experience and attends to client’s strengths, vulnerabilities, resilience and supports.
  15. Deals effectively with client and therapist resistances, including transference and counter-transference.
  16. Performs suicide, homicide, abuse and neglect screening, assessment, safety planning and adheres to legal and ethical reporting procedures.
  17. Knowledge of DSM categories, ability to recognize presence of mental health issues and refer to appropriate professionals.
  18. )Maintains objectivity, recognizes when subjectivity affects the therapeutic process and takes appropriate action to regain therapeutic perspective. 
  19. Responds to disruptions in the therapeutic alliance in a timely fashion, including client emergencies, litigation, hospitalization, third party interference, premature endings and insufficient funds.
  20. Demonstrates skill and sensitivity in terminating counselling relationships.
  21. Develops and implements methods to assess effectiveness of counselling therapist and counselling therapy interventions and treatment.
  22. Demonstrates ability to facilitate group counselling.
  23. Ability to review, evaluate, critique and apply current literature to practice.

Overall Evaluation of Counsellor’s Performance:

Performance is clearly outstanding – 5 – Leader

Performance consistently exceeds standards – 4 – Expert

Performance consistently meets standards – 3 – Master

Performance does not meet expectations; consultation and improvement is needed in specified areas – 2 – Novice

Performance is unsatisfactory, and little or no improvement has resulted from consultation – 1 – Learning 

NA = Not applicable




Evaluator/ Supervisor Signature Date 

I have discussed this evaluation with the evaluator and have received a copy. If I do not agree with this evaluation, I understand that I may submit a letter in duplicate stating my position. 

Counsellor Signature Date