hopelink check in form

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HOPELINK CHECK IN FORM

1.

Briefly describe your care receiver’s situation and/or needs.

2.

What does your care receiver need most from the caring relationship?

3.

What process-oriented goals do you have for the caring relationship?

4.

Are you using any materials or resources? If so, what?

5.

What is going well in the caring relationship?

6.

What is not going well or needs improvement?

7.

What can your supervision group do to assist you in being a better care giver?

This form has been adapted from forms copyrighted by Stephen Ministries, St. Louis. Permission to make copies of such forms has been given to Eagle Brook Church which has enrolled in the Stephen series.

Effective May 2013