SCHOOL OF EDUCATION AND MODERN LANGUAGE

Laporan Sesi Kaunseling Individu

Nama Pelajar: _____________________________________________________

Sesi Ke: ______________________ Tarikh:___________________________

Masa mula: ____________________Masa tamat: _____________________

Jam diperolehi: ________________ Tempat sesi dijalankan: _____________

Jenis kaunseling: Individu Kelompok: No. Rujukan:

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Latar belakang klien:

Isu yang dinyatakan:

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 SCHOOL OF EDUCATION AND MODERN LANGUAGE

Isu sebenar:

Matlamat kaunseling:

Proses Kaunseling

Teori yang boleh diaplikasikan:

Refleksi:

Penilaian:

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 SCHOOL OF EDUCATION AND MODERN LANGUAGE

Janji Temu Akan Datang (jika perlu):

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 SCHOOL OF EDUCATION AND MODERN LANGUAGE

Penamatan sesi kaunseling

Pelajar Isu/masalah Perubahan

menolak berjaya signifikan
diselesaikan
Tiada Kehendak Pelajar Dirujuk
perubahan

Tarikh penamatan: __________________

Bilangan sesi kaunseling yang telah dijalankan: ________________

Catatan/Tindakan Kaunselor Pelatih:

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Disediakan oleh: Disahkan oleh:

______________________ ____________________
(Tandatangan Kaunselor Pelatih) (Tandatangan Penyelia Akademik)

Nama Kaunselor Pelatih: Nama Penyelia Akademik:

Tarikh: Cop:

Tarikh:

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