Did I enter the interaction with the client with an attitude to understand them better? Yes/No
Did I convey empathy to the client by communicating my understanding of their concerns and expectations? Yes/No
Did I satisfy any of the emotional needs of the client during my interactions? Yes/No
(power, connection, safety, attention etc.)
Did I provide examples of similar experiences that I am familiar with that demonstrate to the client that I know what they are going through? Yes/No
Did I give the client the space and time to communicate their story to me where they felt heard? Yes/No
Did I affirm the client in a way that communicated I care, and I understand? Yes/No
Did my body language reflect a high level of empathy/care for the client through eye contact, clarifying understanding by repeating what the client had stated, listening, taking notes, etc. Yes/No
Did the client express any gratitude for my understanding through complimentary statements and expressions of appreciation? Yes/No
Did I ask the client how they are feeling about everything to gain valuable insight into their thought process? Yes/No
Did I respond to feedback from the client in a non-defensive, understanding, and empathetic manner? Yes/No
Was I intentional about my choice of words that showed consideration for the client’s level of understanding and comprehension? Yes/No
I was aware of nonverbal cues from the client and was able to adjust my communication style to be more effective? Yes/No
I was able to pick up on the emotional cues of the client (mad, sad, confused, happy) and made adjustments for a positive interaction? Yes/No
I saw evidence that the client left our interaction feeling understood, heard, and seen? Yes/No
I saw evidence that the client felt comfortable expressing their true thoughts and feelings about our interaction. Yes/No
