PhD Case Presentation Evaluation

KEEP TRACK OF YOUR -TOTAL SCORES FOR EACH SUBSECTION- AS YOU PROGRESS THROUGH THE SURVEY. YOU WILL BE ASKED TO SUM ALL SUBSECTION TOTALS AND INDICATE A FINAL TOTAL SCORE AT THE END OF THE SURVEY.

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* 1. Student's Name

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* 2. Consultant's Name

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* 3. Panel Member's Name (Your Name)

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* 4. Date of Presentation

Date / Time

Date

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* 5. Client Information

Initials

Age

Gender

Diagnosis

Treatment Modality

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* 6. Length of Consultation

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* 7. Frequency of Client Contact