Cognitive Therapy Scale Feedback Form

0 1 2 3 4 5 6
Absence or Inappropriate Evidence of Competent with Good features, Very good Excellent,
highly performance competence, some problems with minor features, minimal highly
inappropriate with major but numerous or inconsistencies problems or problems or effective in
performance problems problems inconsistencies inconsistencies face of
difficulties

Agenda setting & adherence Feedback (2-way) Collaboration Pacing & effective use of time
What I liked: What I liked: What I liked: What I liked:

Suggestions: Suggestions: Suggestions: Suggestions:

Score: Score: Score: Score:

Interpersonal effectiveness Eliciting of appropriate Eliciting key cognitions Eliciting & planning behaviours
emotional expression
What I liked: What I liked: What I liked: What I liked:

Suggestions: Suggestions: Suggestions: Suggestions:

Score: Score: Score: Score:

Guided discovery Conceptual integration Application of change methods Homework setting
What I liked: What I liked: What I liked: What I liked:

Suggestions: Suggestions: Suggestions: Suggestions:

Score: Score: Score: Score:

Total Score:
www.get.gg www.getselfhelp.co.uk