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Record Sheet

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13 views5 pages

Record Sheet

Uploaded by

nsmj2210
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SECTION 6: APPENDIX

APPENDIX A: SESSION RECORD SHEET


Roll No: Day& Date: Session No:

Facilitator/s: Time: Group:

1) SEG Practice (Please tick)

(1.a.) 30 minutes (1.b.)Daily (1.c.)Creating (1.d.)Protectio (1.e.)


daily health meditation Intent n Steps for All Space
practices Cleaning

2) Assessment Inputs (Please tick)

(2.a.) Observer (2.b.) AV (2.c.) Standardized (2.d.) Mentor / ABT Guide


Test Visit

(2.c.i.) (2.c.ii.)
Pre Post

3) Session Plan
Most commonly occurring therapeutic Domains:

Therapeutic Goals for today:

Key Concepts (if any):

Space and Material Preparation:

(3.1) Communion:

Rituals:

Skill Warm Up:

Tick one or multiple options below & write description if necessary:

Rhythm☐ Voice☐ Body☐ Painting Games &


&☐Drawing Exercises☐

Description

(3.2) Creation:Tick or cross one or multiple options below & write details of activity:

ARTISTIC SKILLS☐ IMPROVS☐ METAPHORS ☐

(3.3) Closure:

Disengage from the Take home metaphors or Closing Ritual


Creation (De-roling) creative discussions
4) Post Session: ABT Practitioner’s Notes

(4.1) Actual session sequence:

Use the Grids Nomenclature when referring to each Activity in the sequence.

Write exact sequence of events as they unfolded:

(4.2) Observations about Clients:

S.No. Name INDIVIDUAL OBSERVATIONS, ANECDOTES, DIALOGUES &


THERAPEUT DISCUSSIONS
IC GOALS

1.
2.

3.

4.

5.

6.

7.

8.

9.

10.

(4.3) Group Observations:


Therapeutic Domains / Observations
Goals

(4.4) Changes:

Any TG which needs to be added or removed next time?

A specific Non-ABT technique/tip which was useful?

A specific challenge area, which needs supervisory attention.

A specific skill up-gradation/theory reading required on the part of


practitioner?

Any specific deep-rooted habitual pattern/s to be worked on

(4.5) Ideas for Next Session:

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