Self-Efficacy Survey

Instructions: Please respond to the following statements by identifying the appropriate number that corresponds to your level of confidence.

1 – If you have NO CONFIDENCE
2 – If you have LOW CONFIDENCE
3 – If you have AVERAGE CONFIDENCE
4 – If you have HIGH CONFIDENCE
5 – If you have EXTREMELY HIGH CONFIDENCE

Based upon your reflective supervision experiences, how confident are you that you can…

1. Describe/discuss observations of infant or toddler, attentive to health, social, emotional, and cognitive capacities and the stories parents share?

2. Build a trusting relationship with my supervisor?

3. Feel safe to discuss emotional responses to infants and families in the context of supervision?

4. Regularly examine my thoughts, feelings, strengths, and growth areas?

5. Remain open to feedback from my supervisor about my work with infants and caregivers?

6. Describe/discuss observations of parent(s), attentive to strengths and concerns/risks?

7. Identify the parallels that may exist between my emotional responses and the experiences of the families and infants I serve?

8. Describe/discuss the interactions and developing relationship between parent and young child?

9. Consult with my supervisor to understand my own capacities and needs?

10. Discuss emotional responses regarding difficult or challenging experiences with infants and families in the context of supervision?

11. Identify ways in which my emotional responses may have interfered with my ability to identify or meet the needs of infants and families?

12. Address ruptures or misattunements that have occurred with my supervisor in the context of supervision?

13. Address ruptures or misattunements that have occurred with infants and families in the context of supervision?

14. Use observations and listening skills to assess the infant/toddler’s developing capacities, strengths, risks, needs, diagnosis (if appropriate) to construct an intervention or treatment plan?

15. Understand the reason(s) for service to the infant and family and put into words what is at the center of your work together?

16. Discuss instances of not knowing what to do in work with infants and caregivers?

17. Integrate supervisory discussions and details into the work with infants and families?

18. Manage work-related stress

19. Overall, I am satisfied with the consultation/training I received

Note: The following answers are different from the previous question's answers. Please answer appropriately.

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