Thank you for your interest in the Clinical Supervision Evaluation Questionnaire (CSEQ). You can download the questionnaire from this webpage.

The CSEQ was developed by Dr Simon Horton, Dr Maria de Lourdes Drachler, Alison Fuller and Dr Jose Carlos de Carvalho Leite. It consists of a questionnaire and scoresheet that are to be used in tandem.

This work is licensed under a Creative Commons 4.0 Attribution, Non-Commercial, No Derivatives licence, full details of which are found on the Creative Commons website.

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You are welcome to download the CSEQ and scoresheet and use them freely under the terms of this licence. We would appreciate you agreeing to provide feedback on the use of the form, to allow us to monitor the impact of the work in the field. If you download the form to review it and then decide to use it, we would appreciate hearing about that too, by revisiting the form and filling it in again.

The CSEQ will be available on completion of the form below.

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Data Protection Statement

By submitting this form you will be sharing some of your personal data with the University of East Anglia, and we are required by law to look after your information, and help you understand how it will be used.

Firstly, any personal data collected in this form will only be used by the University for the purpose described in the form itself. The form will also explain our grounds (or ‘lawful basis’) for requiring you to provide the information. Furthermore, if you are providing your information because of a statutory or contractual requirement or obligation, we will include in the form any possible consequences of failing to provide the personal data. 

We will use the information you have provided for as long as required for the purpose, and always in accordance with the University’s records retention policies. We will securely destroy or fully anonymise your information when it is no longer needed. 

We will not share your information with any third parties unless this is required for the purpose explained in the form, or unless required by law.

Depending on the purpose, you are likely to have choice and control over how we use the personal data you have submitted in this form. UK data protection law gives you rights, which are explained here. We have also published further general information on how your personal data will be used. 

If you have any comments or concerns about the way your personal data is collected or used in this instance, please contact dataprotection@uea.ac.uk, including any information which will allow us to identify the specific form you’ve accessed.