Bullet-point format in this section, brief, appx ½ – ¾ page
What are the names (first name only), ages, and birth order of each person?
What are their occupations and education levels (where appropriate)?
What is their living arrangement and relationship status?
What are the roles of each?
What does the couple like to do together?
Who does each member spend most of his or her time with?
Who makes decisions within the couple and how are they made?
Must be in narrative form,
appx 1- 1 ½ pages)
Describe the developmental stage of the couple at this
Detail any recent significant events/losses
Are there any anticipated changes/transitions in the near future? If so, how are these anticipated changes/transitions affecting the couple?
What are the current goals of the couple, including what goals have already been met and how?
Describe the couple’s spiritual life/climate based on individual histories and negotiations as a couple
Must be in narrative form,
appx 1½ – 2 pages)
Describe the communication
Describe the manner of relating to the outside world
What are you impressions regarding intimacy and emotional closeness?
What are the strengths and weaknesses of this couple?
Other comments/ observations
Evaluation of the
Must be in narrative form, appx 2 pages)
Describe what you learned
through this experience
Self-evaluate regarding the interview process
What did you feel were your strong points?
What do you see as areas of further personal or professional development in working with couples and give your overall impressions concerning your working with couples
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