This is a sample structured interview form. Ignore the word student and instead think client. Your assignment is to make use of this form and interview someone. It can be a fellow student, a colleague, a family member, etc. This is not an assignment where you print it off and give it to someone to fill out – you are to physically sit down with a person and ask the questions as outlined. Feel free to have the interviewee make up a problem/concern so that you can have something to actually have an interview about. After the interview, you are to do a case note write up of this “initial interview”.
That format should look like:
1 – identifying information (you do not have to include real name/age/birthdate, but please include these components)
2 – what is the identified problem or concern
3 – what might be the stems of the problem/concern
4 – what other variables may be affected by this problem/concern
5 – what things has the client already attempted to do to address the problem/concern
6 – what type of help or changes is the client hoping for?
Finally, you need to provide some feedback about this assignment – what positives/negatives did you encounter with doing an interview? How did you feel about making use of a structured format rather than a semi-structured or unstructured format? Personally, what kinds of things do you need to do in order to feel comfortable completing interviews as a type of assessment with a client?
There are five points available for each component of the case note write up plus an additional ten points for your assignment feedback.
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