
Icipant: Observation Type: Face-to-Face Phone Month/Quarter: Postpartum Participant: *Peers should have one face to face and one phone observation completed quarterly. BREASTFEEDING COUNSELING RATING COMMENTS Personalizes session by using participant s name & background information Y N N/A Prioritizes topics to discuss Y N N/A Asks open-ended questions Y N N/A Rating Scale: Frequently Probes using appropriate.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the GA WIC Program Peer Counselor Observation Checklist online
The GA WIC Program Peer Counselor Observation Checklist is an essential tool for evaluating peer counseling sessions. This guide provides clear and user-friendly instructions for filling out the checklist online, ensuring that all necessary information is accurately recorded.
Follow the steps to complete the observation checklist effectively.
- Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
- Begin by filling in the details for the peer counselor’s name and the clinic information in the designated fields. Ensure that the WIC ID number is accurately provided.
- Indicate whether the participant is prenatal or postpartum by selecting the appropriate checkbox. Also, select the observation type, either face-to-face or phone, as required.
- For the rating sections under 'Breastfeeding Counseling', carefully evaluate and mark the ratings as 'Yes', 'No', or 'Not Applicable' for each statement based on the counseling session.
- In the sections for 'What went well' and 'What can be done differently', write brief notes summarizing the strengths of the session and potential areas for improvement.
- Complete the final section by filling in the peer counselor's printed name, signature, and date. Ensure that the reviewer’s signature and date are also included for validation.
- Once all sections are filled out, save your changes, and opt to download, print, or share the completed checklist as needed.
Start completing your GA WIC Program Peer Counselor Observation Checklist online today!
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Prioritizes topics to discuss. Y☐ N☐ N/A☐. Asks open-ended questions. Y☐ N☐...
by S Benton-Davis · Cited by 1 — Programs providing one-to-one peer support facilitate...
Dec 1, 2017 — Children (WIC) Supplemental Nutrition Program. M. Obesity Screening. Page...
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.