Today’s date: _______________              Date of Last Progress Report:______________

 

Goals of previous progress report:

 

1)  .

 

 

Progress made toward goal: 

 

 

2)

 

 

Progress made toward goal:

 

 

3)

 

 

Progress made toward goal: 

 

 

 

Goals for next two weeks:

 

1)

 

 

 

2)

 

 

 

3)

 

 

 

What steps are you taking to work towards these goals (This can include who will be taking each step):

 

1)

 

 

2)

 

 

3)

 

 

4)

 

 

Ways the group is working well together:

 

 

 

Problems in the way the group is working together, and how the group plans to address those difficulties:

 

 

 

 

 

Assessment of participation:

 

Please assess the level pf participation of each group member during this two-week period.  This includes you.   Use the following scale:

 

0 – No participation             1 – Minimal participation       2- Some participation

3 – Average participation    4- Active participation      5- Very engaged in each group step

 

 

Name

 

1.

 

 

2.

3.

4.

5.

6.

1.

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

Signature (or if on line, email address) of all group members: 

 

 ___________________________________    __________________________________

 

 ___________________________________    __________________________________

 

___________________________________    __________________________________