Healthy Start/Family Spirit Reflective Supervision Report Question Title * 1. What site are you reporting from? AIHFS Bay Mills Grand Traverse Bay Band Nottawaseppi Huron Potawatomi Little Traverse Bay Band Saginaw Chippewa Indian Tribe Hannahville Keweenaw Bay Sault Tribe Lac Vieux Desert Pokagon Little River Band Question Title * 2. What MONTH are you reporting on for Reflective Supervision Sessions? January February March April May June July August September October November December Question Title * 3. What YEAR are you reporting on for Reflective Supervision Sessions? 2024 2025 2026 2027 2023 Question Title * 4. Please list the home visitors who are eligible to complete home visits during this month (who have been trained to deliver the Family Spirit Model): Home Visitor #1 Home Visitor #2 Home Visitor #3 Home Visitor #4 Home Visitor #5 Home Visitor #6 Home Visitor #7 Question Title * 5. Please enter the following information around who completed individual and/or group reflective supervision sessions: Attended Individual Reflective Supervision Session Attended Group Reflective Supervision Session If "NO" for either individual or group sessions please indicate why: Home Visitor #1 Yes No No Individual Sessions held this month Home Visitor #1 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #1 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #1 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #2 Yes No No Individual Sessions held this month Home Visitor #2 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #2 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #2 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #3 Yes No No Individual Sessions held this month Home Visitor #3 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #3 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #3 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #4 Yes No No Individual Sessions held this month Home Visitor #4 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #4 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #4 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #5 Yes No No Individual Sessions held this month Home Visitor #5 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #5 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #5 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #6 Yes No No Individual Sessions held this month Home Visitor #6 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #6 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #6 If "NO" for either individual or group sessions please indicate why: menu Home Visitor #7 Yes No No Individual Sessions held this month Home Visitor #7 Attended Individual Reflective Supervision Session menu Yes No No Group Sessions held this month Home Visitor #7 Attended Group Reflective Supervision Session menu On leave Did not have time to attend OTHER (Please detail in comments) Home Visitor #7 If "NO" for either individual or group sessions please indicate why: menu OTHER Reason for not attending Reflective Supervision Session Done