Marywood University-Counseling Program
Site Evaluation
Marywood University-Counseling Program
Site Evaluation
Date Completed_________________________
School/Agency Name_________________________________________________
School/Agency Phone________________________________________________
Address____________________________________________________________
Student Completing Evaluation__________________________________________
On a likert scale of "1" being Very Poor to "5" being Superior, please rate and comment on the above named site:
Rating Comments
1. Orientation to site
a. Adequacy of
orientation 5 4 3 2 1 b. They involved me right
away 5 4 3 2 1 c. Orientation continued
as needed 5 4 3 2 1
2. Professional Treatment
a. Professional
expectations 5 4 3 2 1 b. I was included in
activities 5 4 3 2 1 c. I was treated with
respect, and as a peer 5 4 3 2 1 d. They consulted me for
ideas 5 4 3 2 1 e. They made me feel
welcome 5 4 3 2 1
3. Quality of Supervision
a. Supervision was
regularly scheduled 5 4 3 2 1 b. Supervision was
helpful 5 4 3 2 1 c. Supervision was
appropriate to my level of
professional development 5 4 3 2 1 d. Supervision was
supportive 5 4 3 2 1
4. Experiences
a. Appropriate
clients were
plentiful 5 4 3 2 1 b.I learned the
overall program/agency
operation 5 4 3 2 1 c. I had
appropriately challenging
duties 5 4 3 2 1 d. I felt that I made a
contribution 5 4 3 2 1 d. I rarely felt
bored, lost, or left
out 5 4 3 2 1
5. Global evaluation
a. I learned much at this
site 5 4 3 2 1 b. I felt well prepared
for assignments at
this site 5 4 3 2 1 c. I would recommend this
site for future
placements of other students
from Marywood 5 4 3 2 1
6. List major activities that you engaged in:
7. Name the supervisors you would recommend at this site:
8. If it was a mental health agency, what type of clients are available at this site? (age, gender, nature of concerns presented, degree of severity of issues, etc.)
9. If it was a school placement, what issues did you typically deal with in the student population, and under what circumstances? (i.e., crisis intervention, career issues, discipline problems, etc.)
9. On the back of this sheet, please list other comments/ recommendations/ cautions: