| FORM 101.1 TREATMENT PROGRESS NOTES(Soap Format) | DATE: |
| Counselor Highest degree License |
Client I.D.# Session # |
| Subjective: client's evaluation of progress |
| Objective: observations of behavior, affect, response, content |
| Assessment: (updated client impression of progress toward goals) Counselor should help client
evaluate from baseline. Example: When you began counseling you rated yourself at a 3 on (goal
statement). What number do you think best represents your progress now?
Goal 1 (brief goal statement) 1 2 3 4 5 6 7 8 9 10
no progress moderate progress good progress
Goal 2 (brief goal statement) 1 2 3 4 5 6 7 8 9 10
no progress moderate progress good progress
Goal 3 (brief goal statement) 1 2 3 4 5 6 7 8 9 10
no progress moderate progress good progress
|
| Plan (tasks or immediate goals based on client's current progress) Assign specific,
achievable, observable behaviors developed by client and counselor collaboration.
|
| Counselor's evaluation of client: on a scale of 1 - 10 (1 = client takes no responsibility to 10 = client takes
appropriate responsibility) rank the following:
_____Client collaborates with counselor to design homework/assignments _____Client cooperates in session _____Client is working at satisfactory pace |
| Additional notes:
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