Wholesoldier Counseling Form printable pdf download

WHOLESOLDIER COUNSELING FORM

PART I - ADMIN

a1. SOLDIER NAME (Last, First, Middle Initial )

a2. Rank

a3. MOS

a4. DOD ID Number

a5. Duty Position

b1. LEADER NAME (Last, First, Middle Initial )

b2. Rank

b3. MOS

b4. DOD ID Number

b5. Duty Position

c1. UNIT, ORG, ZIP CODE OR APO, MAJOR COMMAND

c2. UIC

c3. FROM DATE (yyyymmdd )

c4. THRU DATE (yyyymmdd )

PART II - ASSESSMENT

BAD

NEUTRAL

GOOD

Frequency

Always

Nearly Always

Usually

Mixed

Usually

Nearly Always

Always

Impact

Unacceptable

Very Bad

Bad

Marginal

Good

Very Good

Excellent

Category

Separate

Problem Soldier

Needs Some Work

Minimum Standard

Bit Over Standard

Strong Performer

One of Very Best

CHARACTER

Looks for loopholes and lacks the integrity to be trusted. Won't take a stand for

Can be trusted to do what is right, even when nobody is looking. Willing to stand

what is right. Tells half-truths under pressure.

up for what is right. Tells the whole truth, even when painful.

Honor, Integrity, Candor,

Personal Courage

CONDUCT

Needs constant supervision and doesn't lead a balanced life. Blames others

Mature, performs well without supervision, and acts within intent. Takes

rather than taking responsibility. Disrespectful and dramatic when upset.

responsibility for mistakes and corrects them. Maintains bearing under stress.

Maturity, Discipline,

Responsibility, Bearing,

Coolness

PURPOSE

Not a team player and displays a selfish attitude through actions. Tends to put

Selfless member of the team with loyalty to the mission and ideals larger than

personal desires before others and the mission.

self. Committed to performing duties even when sacrifice is required.

Selfless Service, Sacrifice,

Commitment, Loyalty, Duty

MOTIVATION

Lacks determination and drive to get the job done. Has difficulty bouncing back

Possesses the will to win and puts forth best effort. Sees setbacks as chances to

from setbacks or seeing tough tasks through.

learn, bounces back, and fights through. Inspires motivation in others.

Drive, Determination,

Endurance, Resilience, Grit

INTERACTION

Cynical, negative, and inconsistent towards others. Critical and/or demeaning

Positive, respectful, genuine, and humorous. Makes others comfortable to share

towards others. Takes energy away from the team.

ideas/issues and adds to team atmosphere.

Respect, Empathy,

Compassion, Humor

VIEW OF SELF

Lacks confidence and is unsure of ability to accomplish the mission or personal

Displays confidence in communication and execution of tasks. Understands value

goals. Thinks of excuses when failure may happen.

to team, isn't afraid to fail, and believes in ability to contribute.

Confidence, Self-Esteem, Self-

Efficacy

FACTS and OBSERVATIONS:

KNOWLEDGE

Does not know basic job tasks or skills. Difficult to train and doesn't learn on own.

Knows basic tasks and higher level tasks. Takes part in own training as a lifelong

Lacks technical competence.

learner. Reaches skill mastery.

Job Tasks, Skills, Education,

Trainability, Learning

JUDGEMENT

Displays lack of sound judgement and common sense. Doesn't recognize or adjust

Makes good decisions in routine situations and new ones. Sees the big picture

to important factors in varying circumstances.

and what is important. Recognizes when to change the course of action.

Common Sense, Logic, Insight,

Understanding, Adaptive,

Flexible

APPLICATION

Continually reliant on others to carry out the mission. Misses details in planning

Able to translate decisions into actions. Communicates clear and complete plan

and communicating. Does not get the job done.

and can organize efforts of the team. Accomplishes the mission.

Planning, Communicating,

Executing

FACTS and OBSERVATIONS:

FITNESS

Does not meet established Army standards. Cannot carry his/her share of the

Exceeds Army standards and demonstrates the strength and endurance to

load. Poor performance during PT and physically demanding conditions.

accomplish the mission. Carries more than his/her share of the load.

Cardio Endurance/Strength,

Muscular Endurance/Strength

ATHLETICISM

Moves awkwardly and struggles with tasks requiring coordination. Unable to

Soldier is an athlete and performs under a variety of conditions. Controls the body

fight or live up to unforseen physical challenges.

to powefully complete complex physical movement.

Coordination, Agility, Balance,

Power, Speed, Flexibility,

Accuracy, Reaction Time

HEALTH

Unhealthy habits contribute to poor performance. Doesn't get the rest required

Demonstrates balance in nutrition, rest, and personal habits. Maintains a reserve

to maintain performance. Poor hygeine makes susceptible to illness.

to meet demands. Takes care of body has good hygiene habits.

Nutrition, Rest, Hygiene

FACTS and OBSERVATIONS:

Wholesoldier Counseling Form

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