Local Form 35 - Counseling Progress Report
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1Local Form 35
(WD/KY, 09/93)
Client:
COUNSELING PROGRESS REPORT
for
United States Probation Office
United States District Court
Western District of Kentucky
Type of Counseling:
Treatment Facility:
Report Period:
__________________________________
Please indicate appropriate response:
1.
Attendance:
Always present
Has missed
(number) sessions
Never present
2.
Attitude:
Excellent
Above average
Neutral
Below average
Poor
3.
Participation/
Cooperation:
Excellent
Above average
Neutral
Below average
Poor
4.
Progress:
Excellent
Good
Fair
No change
Regressing
5.
Medication:
None prescribed
Listed below
6.
Diagnosis:
7.
Comments:
Counselor:
Date:
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Parent category: Legal