Nutrition 510

SDSU Rupp

Nonverbal Behavior Checklist

Nutrition Counselor:

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Behavior observed (Check all observed)

A.

Eye cgrntact 7 Spontaneous eye contact and eye movements Breaking eye contact

too intensely _Staring r' Looking down Looking directly at client when speaking / directly at client when listening _Looking away frequently _Looking blankly _Staring

D.

Vocal Quality 'Pburunt

B.

Body posture 7 Stight forward lean t/ Body facing client

Relaxed posture Relaxed hand position _Spontaneous hand and arm movements Gestures for emphasis

t/

V V \./ l,z

intonation

lppropriate loudness Moderate rate of speech

Simple precise language

Fluid speech
Monotone

.v

Touchins client --7-R;rl^"ii"r

oo",i",

pr,vsicall-y

too close to client Arms folded across chest turned sideways _Body

=F[:;:f;],
_Physically

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E.

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.

useofjargon-7

Use of Too fast

slang

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_Use V

Too slow of "you knof' Use of "um", "ah" Voice quiver

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C.

V Appropriate smiling _Expressions matching client V

Face rigid

Head and Facial Movements Atnrmative head nods \./ Calm, expressive facial movements

t/

Continual nodding
Extraneous facial movements

Distracting Personal Habits Playing with hair Fiddling with pen or pencil _Chewing gum or eating _Drinking Tapping fingers or feet _Tapping

-v-

Other

smiling -@- Little smiling

Continual Cold, distant expression

Frowning Overly emotional reactions

,AJT,

31

Nutrition 510

SDSU Rupp

Peer Evaluation - lndividuat Counseting Sessions Session I - lnterview

Nutrition Counselor

* A,

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Suggestions for Improvement

Considered client's ical comfort

BODY OF INTERWEW:
,Maintenance of ra

iate closed

Use of silence

Talkinevs-

,C-mtmtational
Bace of interniew

CLOSING

How to contact
What were the interviewer's areas of strength?

Alaru{ ffaud !

What could the interviewer do to improve performance?

23
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Nutrition 510

SDSU Rupp

Peer Evaluation - lndividual Counseling Sessions Session I - lnterview

Nutrition Counselor

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Suggestions for Improvement

Can
Statement of Considered client's

Do o-\it*\e-

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Brc'i*tfti

BOI}Y OF INTERVIEW:

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What were the intervi.e-wer's areas of strength? * 3 mi \i Re.\crx

nt

What could the interviewer do to improve performance?

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21

Nutrition 510

- SDSU
Rupp

Peer Evaluation - rndividuar counsering sessions Session I - lnterview

Nutrition Counselor

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Suggestions for Improvement

A
Statement

b.{ +J"E-

of

Considered client's

BODY OF INTERVIEW:
Maintenance of ra

a '\--d 8L.-irvt
D tcl t,.*d--f*T-Er,lrc-o-t -.

Talkine vs. listenin

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Pace of interview

How to contact
What were the interviewer,s areas of skensth?

V.tf 4El ),v=c*.--r-*r.4 bn .."2-t""e 4tt-h-t k oI/--^^.*

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What could the interviewer do to improve performance?

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24

Nutrition 510

SDSU Rupp

Peer Evaluation - Individual Gounseling Sessions Session ll - Counseling

Nutrition

Counselor

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Needs

Suggestions for Improvement

Improve
ment

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Considered client's

INTERVIEW:
Maintenance of Maintenance of control of interview DIET COUNSELING: Prepares/uses appropriate instructional materials for client . Discusses application of diet to client's lifestyle (i.e., shopping, recipes, cookins ti Assess client's understanding of diet

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4" Zlo-'t&ct^t .&".

modification

Helps client develop

fil.^t*--.1< ^t1'f r '<

Clarifies need and procedures for follow up and referral How to contact What were the interviewer's areas of

t .\{11

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t'"--

a,..J.S-:

a;\cl a- arcrt,\db ,=,*' b-,ara',P What could the intervie*.ido to impYove performance?
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